A retrospective study of opioid prescribing patterns at hospital discharge in surgical patients with obstructive sleep apnea.

Given the implications of obstructive sleep apnea (OSA), the minimization of opioids in the perioperative setting is recommended in patients with known or suspected OSA. This retrospective analysis investigated opioid prescribing patterns among patients undergoing surgery from 1 November 2016 to 30 April 2017 at a single academic institution. Patients with known or suspected OSA by STOP-Bang were compared to those without OSA for the amount of postoperative discharge opioid medication using multivariable linear regression. Adjusted analysis showed no significant difference in the amount and rates of opioids prescribed upon discharge between OSA and non-OSA surgical patients, despite guidelines recommending opioid sparing. These findings indicate a need to implement different strategies to reduce opioids to patients with OSA.