{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:38:49Z","timestamp":1777448329831,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2023,5,5]],"date-time":"2023-05-05T00:00:00Z","timestamp":1683244800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Opioids are effective in short-term pain treatment; however, their long-term effectiveness is unconfirmed. Many patients are exposed to opioids after pelvic injuries with little known about persistent use afterward. We assessed the prevalence and predictors of long-term opioid use following pelvic fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This retrospective study enrolled 277 patients with acute pelvic fractures over five years. Daily and total morphine milligram equivalents (MME) were calculated. The primary outcome was long-term opioid use (LOU) defined as ongoing opioid use 60-90\u00a0days post-discharge. The secondary outcome was intermediate-term opioid use (IOU) defined as ongoing opioid use 30-60\u00a0days post-discharge. Univariable and logistic regression analyses were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Median (interquartile range) total inpatient opioid MME was 422 (157-1667) with a median daily MME of 69 (26-145). Long-term opioid use occurred in 16%, and IOU occurred in 29%. Univariable analysis found that total and daily inpatient opioid use were each significantly associated with LOU (median MME, 1241 vs 371; median MMEs, 127.7 vs 59.2, respectively) and IOU (median MME, 1140 vs 326; median MMEs, 111.8 vs 57.9, respectively). Logistic regression analysis found daily inpatient MME \u226550 (odds ratio [OR] 3.027, 95% confidence interval [CI] 1.059-8.652]) and pelvic fracture type (Tile B\/C) (OR 2.992 [CI 1.324-6.763])were independent predictors of LOU.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Total and daily inpatient opioid use were significantly associated with LOU and IOU. Patients who received \u226550 MME\/inpatient day had a higher likelihood of LOU. This study seeks to inform clinical decisions for pain management to prevent adverse outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348231173975","type":"journal-article","created":{"date-parts":[[2023,5,5]],"date-time":"2023-05-05T06:01:41Z","timestamp":1683266501000},"page":"3710-3715","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Prevalence and Predictors of Long-term Opioid Use After Pelvic Fractures"],"prefix":"10.1177","volume":"89","author":[{"given":"Nicole Ann Elvambuena","family":"Villa","sequence":"first","affiliation":[{"name":"Drexel University College of Medicine at Tower Health, Wyomissing, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristina","family":"Shum","sequence":"additional","affiliation":[{"name":"Drexel University College of Medicine at Tower Health, Wyomissing, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allison","family":"Atkinson","sequence":"additional","affiliation":[{"name":"Drexel University College of Medicine at Tower Health, Wyomissing, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian","family":"Ong","sequence":"additional","affiliation":[{"name":"Department of Surgery, Reading Hospital, Reading, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allison","family":"Muller","sequence":"additional","affiliation":[{"name":"Department of Surgery, Reading Hospital, Reading, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Espiridion","sequence":"additional","affiliation":[{"name":"Drexel University College of Medicine at Tower Health, Wyomissing, PA, USA"},{"name":"Department of Psychiatry, Reading Hospital, Reading, PA, 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