Postoperative Opioid Use in Pediatric Inguinal Orchiopexy.

IF 1.8 4区医学 Q2 HEALTH POLICY & SERVICES

Journal of Pediatric Health Care Pub Date : 2025-09-27 DOI:10.1016/j.pedhc.2025.08.009

Tracy Chin, Evelyn James, Bailey Carter, Caitlyn Desir, Leepao Khang, Lily C Wang

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引用次数: 0

Abstract

Introduction: Using data collected from 2020 to 2022 on pediatric patients undergoing inguinal orchiopexy, we seek to identify factors associated with opioid use after surgery.

Method: Data were collected and analyzed using multivariate logistic regression. A total of 166 patients aged 1-21 were included. All patients were given instructions to use weight/age-based acetaminophen for mild/moderate pain after surgery and hydrocodone-acetaminophen for severe pain.

Results: Age, acetaminophen use, and preferred language were associated with postoperative opioid use while other patient and surgical variables were not.

Discussion: In this study, we found that increasing age, lack of acetaminophen use, and preferred language of English were associated with increased postoperative opioid use. In addition, while race/ethnicity was not associated with opioid use, patient language preference for English in this Hispanic-majority population was associated with increased opioid use. The findings of this study highlight the importance of patient education and effective communication to limit opioid use and prescription.

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小儿腹股沟睾丸切除术后阿片类药物的使用。

前言：利用从2020年到2022年收集的接受腹股沟睾丸切除术的儿科患者的数据，我们试图确定术后阿片类药物使用的相关因素。方法：收集资料，采用多元logistic回归分析。共纳入166例1 ~ 21岁患者。所有患者都被告知根据体重/年龄使用对乙酰氨基酚治疗术后轻度/中度疼痛，氢可酮-对乙酰氨基酚治疗重度疼痛。结果：年龄、对乙酰氨基酚使用和首选语言与术后阿片类药物使用相关，而其他患者和手术变量无关。讨论：在这项研究中，我们发现年龄的增加、对乙酰氨基酚的使用不足和英语语言的偏好与术后阿片类药物使用的增加有关。此外，虽然种族/民族与阿片类药物使用无关，但在西班牙裔占多数的人群中，患者对英语的语言偏好与阿片类药物使用的增加有关。本研究的结果强调了患者教育和有效沟通对限制阿片类药物使用和处方的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Health Care NURSING-PEDIATRICS

CiteScore

3.40

自引率

10.70%

发文量

140

审稿时长

24 days

期刊介绍： The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.