Nonopioid analgesic use in older patients admitted for orthopedic rehabilitation

BACKGROUNDMultimodal analgesia (MMA) combines opioids with nonopioid analgesics (NOAs) to mitigate opioid-related adverse events and development of opioid use disorders. Although MMA has become the standard for orthopedic perioperative pain management, guidance is less clear for the approximately 15...

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Bibliographic Details
Published in:PM & R 2024-06
Main Authors: Bilek, Aaron J, Cullen, Stephanie, Tan, Carolyn M, Li, Qixuan, Huszti, Ella, Norman, Richard E
Format: Article
Language:English
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Summary:BACKGROUNDMultimodal analgesia (MMA) combines opioids with nonopioid analgesics (NOAs) to mitigate opioid-related adverse events and development of opioid use disorders. Although MMA has become the standard for orthopedic perioperative pain management, guidance is less clear for the approximately 15% of patients who go on to require inpatient orthopedic rehabilitation (IOR) postoperatively. The IOR population tends to be older and frailer and hence likely more vulnerable to adverse events. Little research has been done to shed light on how NOAs are used in this population.OBJECTIVETo characterize NOA prescribing in older versus younger adults during IOR admissions and to determine predictors of NOA prescribing in an older IOR population.DESIGNRetrospective case-control study.SETTINGTwo IOR wards at an academic rehabilitation hospital in Toronto, Canada.PATIENTSAll patients aged ≥50 years admitted for an orthopedic indication between November 2019 and June 2021; the patients aged
ISSN:1934-1563
DOI:10.1002/pmrj.13205