Fewer postoperative opioids are associated with decreased duration of stay for children with perforated appendicitis.

ABSTRACT:

Background

The impact of postoperative opioid use on outcomes for children with perforated appendicitis is unknown.

Methods

A retrospective cohort study was performed using the Pediatric Health Information System database from 2005 to 2015. Children 2 to 18 years with perforated appendicitis who underwent an appendectomy were identified. Postoperative day analgesic use was categorized as nonopioid analgesia alone, opioids (with or without nonopioid analgesia), or no analgesics. The impact of postoperative opioid use on postoperative duration of stay and 30-day readmission was evaluated using multivariable mixed-effects regression analysis.

Results

Overall, 47,726 children with perforated appendicitis were identified. On postoperative day 1, 17.7% received nonopioid an

SUBMITTER: Mahdi EM 

PROVIDER: S-EPMC7606624 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature