ArticleFoot & ankle orthopaedics2025
Chronic Preoperative Opioid Use Is Associated With Increased Health Care Utilization Following Ankle Fracture Surgery.
Article in Foot & ankle orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Background: Chronic opioid use has been linked to adverse surgical outcomes, yet its impact on ankle fracture surgery remains underexplored. This study evaluates the association between preoperative opioid use and postoperative health care utilization in patients undergoing surgical fixation for an isolated ankle fracture. Methods: A retrospective cohort study was conducted at a level 1 trauma center over a 2-year period. Patients who underwent surgical fixation for an isolated ankle fracture were identified using Results: Of the 303 patients analyzed, 40 (13.2%) were long-term opioid users. Compared with opioid-naïve patients, opioid users had significantly longer hospital stays (5.3 ± 6.1 vs 2.6 ± 2.9 days, Conclusion: Preoperative opioid use is linked to longer hospital stays and increased postoperative health care utilization on unadjusted analyses. In multivariable models, psychiatric history and hospital length of stay, rather than opioid use alone, were independent predictors of readmissions and ED visits, suggesting that addressing psychiatric comorbidities and optimizing pain management strategies may improve outcomes in this patient population. Level of Evidence: Level III, retrospective cohort study.
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