Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website https://www.jocmr.org

Original Article

Volume 13, Number 5, May 2021, pages 304-308


Timing of Oversedation Events Following Opiate Administration in Hospitalized Patients

Figure

Figure 1.
Figure 1. Difference between predicted duration of action and timing of oversedation.

Tables

Table 1. Patient Characteristics by Oversedation Event
 
Oversedation event after the predicted maximal duration of actionP value*
No (n = 28)Yes (n = 25)Total (n = 53)
*P values from t-tests for continuous variables and from Chi-squared or Fisher exact tests for categorical variables. BMI: body mass index.
Age (mean (SD)), years59.14 (15.08)59.4 (14.12)59.26 (14.49)0.949
BMI (mean (SD))29.17 (8.28)30.4 (11.46)29.7 (9.83)0.652
Gender, N (%)
  Female20 (71.4)24 (96)44 (83)
  Male8 (28.6)1 (4)8 (17)
Renal insufficiency
  No20 (71.4)17 (68)37 (69.8)0.786
  Yes8 (28.6)8 (32)16 (30.2)
Liver disease
  No20 (71.4)21 (84)41 (77.4)0.275
  Yes8 (28.6)4 (16)12 (22.6)
Opioid naive
  No22 (78.6)13 (52)35 (66)0.041
  Yes6 (21.4)12 (48)18 (34)
Surgery within 24 h
  No24 (88.9)19 (76)43 (82.7)0.284
  Yes3 (11.1)6 (24)9 (17.3)
Sleep apnea
  No23 (82.1)23 (92)46 (86.8)0.426
  Yes5 (17.9)2 (8)7 (13.2)
Chronic obstructive lung disease
  No22 (78.6)20 (80)42 (79.2)0.898
  Yes6 (21.4)5 (20)11 (20.8)
Smoker
  No19 (67.9)17 (68)36 (67.9)0.58
  Yes7 (25)4 (16)11 (20.8)
  Ex-smokers2 (7.1)4 (16)6 (11.3)
Lung transplant
  No28 (100)22 (95.7)50 (98)0.451
  Yes01 (4.3)1 (2)

 

Table 2. Estimates of OS After Maximal Duration of Action*
 
Mean OS after maximal duration of action (95% CI)Mean difference (95% CI); P-value
NoYes
*Linear regression model adjusted for patient’s age, sex, BMI and comorbidities listed in Table 1. OS: overall survival; CI: confidence interval.
Unadjusted time after maximal duration of action, h-2.60 (-3.44; -1.75)3.75 (2.85; 4.65)6.35 (5.11; 7.59); P < 0.001
Adjusted time after maximal duration of action, h-4.03 (-8.41; 0.36)2.25 (-2.16; 6.66)6.28 (4.73; 7.83); P < 0.001