TY  - JOUR
PY  - 2022//
TI  - Accuracy of self-reported opioid use in orthopaedic trauma patients
JO  - European journal of orthopaedic surgery and traumatology
A1  - Hijji, Fady Y.
A1  - Sanda, Tyler
A1  - Huff, Scott D.
A1  - Froehle, Andrew W.
A1  - Henningsen, Joseph D.
A1  - Schneider, Andrew D.
A1  - Lyons, Joseph G.
A1  - Mian, Humza M.
A1  - Jerele, Jennifer
A1  - Venkatarayappa, Indresh
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - PURPOSE: Opioids have long been a mainstay of treatment for pain in patients with orthopaedic injuries, but little is known about the accuracy of self-reported narcotic usage in orthopaedic trauma. The purpose of this study is to evaluate the accuracy of self-reported opioid usage in orthopaedic trauma patients. <br><br>METHODS: A retrospective review of all new patients presenting to the orthopaedic trauma clinic of a level 1 trauma centre with a chief complaint of recent orthopaedic-related injury over a 2-year time frame was conducted. Participants were administered a survey inquiring about narcotic usage within the prior 3 months. Responses were cross-referenced against a query of a statewide prescription drug monitoring program system. <br><br>RESULTS: The study comprised 241 participants; 206 (85.5%) were accurate reporters, while 35 (14.5%) were inaccurate reporters. Significantly increased accuracy was associated with hospital admission prior to clinic visit (β = - 1.33; χ(2) = 10.68, P < 0.01; OR: 0.07, 95% CI 0.01-0.62). Decreased accuracy was associated with higher pre-visit total morphine equivalent dose (MED) (β = 0.002; χ(2) = 11.30, P < 0.01), with accurate reporters having significantly lower pre-index visit MED levels compared to underreporters (89.2 ± 208.7 mg vs. 249.6 ± 509.3 mg; P = 0.04). An Emergency Department (ED) visit prior to the index visit significantly predicted underreporting (β = 0.424; χ(2) = 4.28, P = 0.04; OR: 2.34, 95% CI 1.01-5.38). <br><br>CONCLUSION: This study suggests that most new patients presenting to an orthopaedic trauma clinic with acute injury will accurately report their narcotic usage within the preceding 3 months. Prior hospital admissions increased the likelihood of accurate reporting while higher MEDs or an ED visit prior to the initial visit increased the likelihood of underreporting.<p />  <p>Language: en</p>
LA  - en
SN  - 1633-8065
UR  - http://dx.doi.org/10.1007/s00590-021-03178-8
ID  - ref1
ER  -