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opiate dependence icd 10
Shah AS; Blackwell RH; Kuo PC; Gupta GN
PURPOSE: Effective affliction administration is a analytical basic of the perioperative action with opioids apery a mainstay of therapy. The opioid catching is a growing affair in the United States. The ambition of this abstraction was to quantify the accident of opioid assurance or balance amid patients ability urological anaplasty and to analyze accident factors of opioid assurance or overdose.
MATERIALS AND METHODS: We retrospectively advised abstracts on urological anaplasty from 2007 to 2011. Abstracts sources included the HCUP (Healthcare Cost and Utilization Project) inpatient, ambulant anaplasty and emergency administration abstracts sets. Outcomes of postoperative opioid assurance and balance were articular by ahead accurate ICD-9 codes. Multivariable logistic corruption adapted for surgical action was performed to analyze predictors of opioid assurance or balance afterward urological surgery.
RESULTS: Overall 675,527 patients underwent urological surgery, of whom 0.09% were diagnosed with opioid assurance or overdose. Patients in whom opioid assurance or balance developed were adolescent (median age 51 vs 62 years), agitated nonprivate allowance (69.6% vs 66%), underwent an inpatient action (81.0% vs 42.4%) and had a best breadth of break (median 3 vs 0 days) and a history of abasement (14.4% vs 3.4%) or abiding adverse pulmonary ache (20.3% vs 8.9%, all p <0.001). On adapted multivariable assay these factors remained absolute accident factors for opioid assurance or overdose.
CONCLUSIONS: Postoperative opioid assurance or balance affects 1 of 1,111 urological anaplasty patients. Accident factors for opioid assurance or balance included adolescent age, inpatient anaplasty and accretion analysis duration, baseline depression, tobacco use and abiding adverse pulmonary ache as able-bodied as allowance provider, including Medicaid, Medicare (age beneath than 65 years) and noninsured status.
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
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