{"id":"https://openalex.org/W7024259944","doi":null,"title":"Risk Stratification for Postoperative Opioid Induced Respiratory Depression: A Retrospective Case-Control Analysis of Existing Validated Tools","display_name":"Risk Stratification for Postoperative Opioid Induced Respiratory Depression: A Retrospective Case-Control Analysis of Existing Validated Tools","publication_year":2025,"publication_date":"2025-04-01","ids":{"openalex":"https://openalex.org/W7024259944"},"language":"en","primary_location":{"id":"pmh:oai:doaj.org/article:6b6066f35e62478f9b630d7178b87022","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/6b6066f35e62478f9b630d7178b87022","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Pain Research, Vol Volume 18, Pp 2233-2240 (2025)","raw_type":"article"},"volume":null,"type":"article","indexed_in":["doaj"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doaj.org/article/6b6066f35e62478f9b630d7178b87022","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Hutcheson S","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Hutcheson S","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Pehrson A","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Pehrson A","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5117366250","display_name":"Robert B Gassert","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Gassert RB","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Guffey E","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Guffey E","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Shanahan PC","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Shanahan PC","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064988004","display_name":"Laura Sisk","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sisk L","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111428966","display_name":"S.E. Patton","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Patton S","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5051617241","display_name":"Che Antonio Solla","orcid":"https://orcid.org/0000-0003-0694-3627","observed_orcids":["https://orcid.org/0000-0003-0694-3627"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Solla CA","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.51619592,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":true,"primary_topic":{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.43849998712539673,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.43849998712539673,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10576","display_name":"Opioid Use Disorder Treatment","score":0.2345000058412552,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11930","display_name":"Cardiac, Anesthesia and Surgical Outcomes","score":0.07530000060796738,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/risk-stratification","display_name":"risk stratification","score":0.8709999918937683},{"id":"https://openalex.org/keywords/naloxone-administration","display_name":"naloxone administration","score":0.6729999780654907},{"id":"https://openalex.org/keywords/respiratory-failure","display_name":"respiratory failure","score":0.8130000233650208},{"id":"https://openalex.org/keywords/substance-use-history","display_name":"substance use history","score":0.609000027179718},{"id":"https://openalex.org/keywords/bipolar-disorder","display_name":"bipolar disorder","score":0.9959999918937683},{"id":"https://openalex.org/keywords/post-anesthesia-care-unit","display_name":"post-anesthesia care unit","score":0.7960000038146973},{"id":"https://openalex.org/keywords/treatment-escalation","display_name":"treatment escalation","score":0.6000000238418579},{"id":"https://openalex.org/keywords/opioid-analgesia","display_name":"opioid analgesia","score":0.6029999852180481},{"id":"https://openalex.org/keywords/perioperative-morbidity","display_name":"perioperative morbidity","score":0.5429999828338623},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.5640000104904175},{"id":"https://openalex.org/keywords/mortality-and-morbidity-reduction","display_name":"morbidity and mortality reduction","score":0.42100000381469727}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8650000095367432},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.5550000071525574},{"id":"https://openalex.org/C31174226","wikidata":"https://www.wikidata.org/wiki/Q64855140","display_name":"Perioperative","level":2,"score":0.5544000267982483},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5479999780654907},{"id":"https://openalex.org/C2776376669","wikidata":"https://www.wikidata.org/wiki/Q5094647","display_name":"Intensive care unit","level":2,"score":0.5335999727249146},{"id":"https://openalex.org/C2776888751","wikidata":"https://www.wikidata.org/wiki/Q767485","display_name":"Respiratory failure","level":2,"score":0.48179998993873596},{"id":"https://openalex.org/C2778750930","wikidata":"https://www.wikidata.org/wiki/Q4540629","display_name":"(+)-Naloxone","level":4,"score":0.4796999990940094},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.46869999170303345},{"id":"https://openalex.org/C2775969662","wikidata":"https://www.wikidata.org/wiki/Q7923600","display_name":"Veterans Affairs","level":2,"score":0.45660001039505005},{"id":"https://openalex.org/C2781063702","wikidata":"https://www.wikidata.org/wiki/Q427523","display_name":"Opioid","level":3,"score":0.4530999958515167},{"id":"https://openalex.org/C203092338","wikidata":"https://www.wikidata.org/wiki/Q1340863","display_name":"Clinical endpoint","level":3,"score":0.4219000041484833},{"id":"https://openalex.org/C2776704448","wikidata":"https://www.wikidata.org/wiki/Q754438","display_name":"Respiratory therapist","level":2,"score":0.4219000041484833},{"id":"https://openalex.org/C3017721199","wikidata":"https://www.wikidata.org/wiki/Q754438","display_name":"Respiratory care","level":2,"score":0.40139999985694885},{"id":"https://openalex.org/C2776164194","wikidata":"https://www.wikidata.org/wiki/Q2501440","display_name":"Expiration","level":3,"score":0.39419999718666077},{"id":"https://openalex.org/C2779148768","wikidata":"https://www.wikidata.org/wiki/Q17154378","display_name":"Opioid overdose","level":5,"score":0.39070001244544983},{"id":"https://openalex.org/C534529494","wikidata":"https://www.wikidata.org/wiki/Q7891","display_name":"Respiratory system","level":2,"score":0.3896999955177307},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.3635999858379364},{"id":"https://openalex.org/C2775849661","wikidata":"https://www.wikidata.org/wiki/Q940","display_name":"Narcotic","level":2,"score":0.34860000014305115},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.31619998812675476},{"id":"https://openalex.org/C40010229","wikidata":"https://www.wikidata.org/wiki/Q3184856","display_name":"Substance abuse","level":2,"score":0.30889999866485596},{"id":"https://openalex.org/C3020404979","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk stratification","level":2,"score":0.2858999967575073},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.28189998865127563},{"id":"https://openalex.org/C2780073493","wikidata":"https://www.wikidata.org/wiki/Q7523837","display_name":"Single Center","level":2,"score":0.26649999618530273},{"id":"https://openalex.org/C2987404301","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care","level":2,"score":0.2637999951839447},{"id":"https://openalex.org/C2778716859","wikidata":"https://www.wikidata.org/wiki/Q939018","display_name":"Intubation","level":2,"score":0.2614000141620636},{"id":"https://openalex.org/C2780110798","wikidata":"https://www.wikidata.org/wiki/Q2980337","display_name":"Trauma center","level":3,"score":0.26080000400543213},{"id":"https://openalex.org/C187960798","wikidata":"https://www.wikidata.org/wiki/Q7631152","display_name":"Subgroup analysis","level":3,"score":0.2581000030040741},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.25540000200271606},{"id":"https://openalex.org/C141341695","wikidata":"https://www.wikidata.org/wiki/Q2368661","display_name":"Surrogate endpoint","level":2,"score":0.25200000405311584}],"mesh":[],"locations_count":1,"locations":[{"id":"pmh:oai:doaj.org/article:6b6066f35e62478f9b630d7178b87022","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/6b6066f35e62478f9b630d7178b87022","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Pain Research, Vol Volume 18, Pp 2233-2240 (2025)","raw_type":"article"}],"best_oa_location":{"id":"pmh:oai:doaj.org/article:6b6066f35e62478f9b630d7178b87022","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/6b6066f35e62478f9b630d7178b87022","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Pain Research, Vol Volume 18, Pp 2233-2240 (2025)","raw_type":"article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/3","score":0.9010131359100342,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Sam":[0,32],"Hutcheson,":[1,33],"Aimee":[2],"Pehrson,":[3],"Robert":[4],"B":[5],"Gassert,":[6],"Ethan":[7],"Guffey,":[8],"Paul":[9],"C":[10],"Shanahan,":[11],"Laura":[12],"Sisk,":[13],"Samuel":[14],"Patton,":[15],"Che":[16],"Antonio":[17],"Solla":[18],"Department":[19,34],"of":[20,23,27,35,39,43,68,136,162,209,216,240,253,270,278,290,323,331,337,342],"Anesthesiology;":[21,36],"University":[22,38,135],"Tennessee":[24,40,137],"Graduate":[25,41],"School":[26,42],"Medicine,":[28,44],"Knoxville,":[29,50],"TN,":[30,51],"USACorrespondence:":[31],"The":[37],"1924":[45],"Alcoa":[46],"Hwy":[47],"Box":[48],"U-109,":[49],"37920-9220,":[52],"USA,":[53],"Tel":[54],"+1-205-240-2035,":[55],"Email":[56],"shutcheson@utmck.eduPurpose:":[57],"Postoperative":[58],"opioid-induced":[59],"respiratory":[60,166,171,186,213,274,294,333],"depression":[61],"(POIRD)":[62],"is":[63],"a":[64,220,251,285,310,321,340],"preventable":[65],"perioperative":[66],"cause":[67],"morbidity":[69],"and":[70,87,122,189,250,320],"mortality.":[71],"A":[72,276],"validated":[73,84],"POIRD":[74,108,206,235,314],"risk":[75,89,109,264,330,350],"stratification":[76],"tool":[77,311],"could":[78,106],"reduce":[79],"these":[80,93],"complications.":[81],"3":[82,229],"pre-existing":[83],"opioid":[85,230],"tools;":[86,94],"specific":[88],"factors":[90,265],"identified":[91],"from":[92,116,140,158],"were":[95,149,156,262,306],"examined":[96],"in":[97,110,170],"this":[98,159],"retrospective":[99,355],"case-control":[100,356],"study":[101,357],"to":[102,113,143,151,165,175,185,212,268,273,283,293,308,312],"determine":[103],"if":[104],"they":[105],"assess":[107],"patients":[111,129,147,316],"discharged":[112],"hospital":[114],"floors":[115],"the":[117,134,194,198,204,228,234],"Post-Anesthesia":[118],"Care":[119],"Unit":[120],"(PACU).Patients":[121],"Methods:":[123],"Our":[124],"dataset":[125],"includes":[126],"126":[127],"matched":[128],"who":[130],"underwent":[131],"surgery":[132],"at":[133,327],"Medical":[138],"Center":[139],"January":[141],"2019":[142],"December":[144],"2021.":[145],"All":[146],"that":[148,200,266],"related":[150],"active":[152],"traumas":[153],"or":[154,181,238],"burns":[155],"excluded":[157],"study.":[160],"Escalation":[161,208],"care":[163,178,210,271,291],"secondary":[164,184,211,221,272,292],"failure":[167,295,334],"(an":[168],"increase":[169],"support":[172],"with":[173,188,197,233,288,296,317,339,347],"movement":[174],"an":[176,328],"intensive":[177],"unit/stepdown":[179],"unit":[180],"patient":[182],"expiration":[183],"failure)":[187],"without":[190],"naloxone":[191,202,217,297],"administration":[192,298],"was":[193,219,224,281],"primary":[195],"endpoint;":[196],"subgroup":[199],"received":[201],"being":[203,345],"surrogate":[205,236],"endpoint.":[207],"failure;":[214],"regardless":[215],"use;":[218],"endpoint.Results:":[222],"There":[223],"no":[225],"association":[226,287],"between":[227],"tools":[231],"evaluated":[232],"endpoint":[237],"escalation":[239,269,289,336],"care.":[241],"Bipolar":[242],"disorder":[243,319],"(OR":[244,256],"3.68;":[245],"95%":[246,258,300],"CI":[247,259,301],"1.11\u2013":[248],"9.56)":[249],"history":[252,277,322,341],"substance":[254,279,324,343],"abuse":[255,280,325,344],"26.33;":[257],"5.18\u2013":[260],"119.02)":[261],"significant":[263,286],"contributed":[267],"failure.":[275],"found":[282],"have":[284],"(OR=6.886;":[299],"2.02\u2013":[302],"23.56).Conclusion:":[303],"While":[304],"we":[305],"unable":[307],"identify":[309],"stratify":[313],"risk;":[315],"bipolar":[318],"are":[326],"increased":[329],"postoperative":[332],"requiring":[335],"care;":[338],"associated":[346],"POIRD.Keywords:":[348],"preoperative":[349],"stratification,":[351],"ORT,":[352],"PRODIGY,":[353],"RIOSORD,":[354]},"counts_by_year":[],"updated_date":"2026-10-14T16:39:01.820549","created_date":"2025-10-10T00:00:00"}
