Narcotic drug use in pediatric patients after endoscopic sinus surgery was associated with higher rates of postoperative complications, according to findings presented at the AAO-HNSF 2021 Annual Meeting.
To better understand prescribing patterns for postoperative pain management, the study authors used the MarketScan database to identify patients under the age of 18 who had undergone endoscopic sinus surgery between 2016 and 2018.
“Univariate and multivariate analyzes were performed to analyze narcotic drug use based on demographics and surgical procedures and to investigate the relationship between narcotic drugs and 30 days postoperative morbidity,” the authors explained.
Of the 2981 patients included in the analysis, 59.1% were 13 years of age or older. Ten percent of patients received narcotics after surgery, and those older than 12 years of age were more likely to receive these drugs for pain (odds ratio [OR], 2,363; 95% CI, 1.59-3.52).
Multivariate analyzes showed that the use of narcotic medications was significantly associated with greater 30 days postoperative complications (OR 1.87; 95% CI 1.38-2.54) as well as emergency room visits (OR 2.68; 95 %CI 1.81-3.98). ) and hospital readmissions (OR, 2.45; 95% CI, 1.59-3.78).
Location also played a factor, with more narcotics use in certain parts of the country than in others.
Thomas S, Guodong L, Wilson MN. Anesthetic use after pediatric sinus surgery: a national analysis. AAO-HNSF 2021 Annual Meeting; October 3-6, 2021; Los Angeles, CA.
AAO-HNS 2021 Narcotic Analgesics Pain Relief Rhinitis/Rhinorrhea (Intranasal Products) Sinusitis