Anesthesia
Conditions
Brief summary
This is a prospective survey study of patients 12-21 years undergoing anesthetic care. The primary objective is to determine the incidence of illicit substance use and abuse prior to anesthetic care. The secondary objective is to determine the illicit substances used and their frequency in patients presenting for anesthetic care.
Detailed description
The participants will be asked to complete a survey in REDCap using an iPad during the visit. The study will record any positive answers from the drug and tobacco use questions routinely asked of the parents during the on-line pre-admission testing process. These include yes/no answers regarding drug, alcohol, and tobacco use. The information collected will include only demographic data including age, weight, gender, ethnicity/race, and zip code. Survey data will be coded and will not include patient information. Completion of the survey will take approximately 15-20 minutes.
Interventions
OTHERSurvey
Survey assessing incidence, frequency, and type of illicit substance use
Sponsors
Nationwide Children's Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
12 Years to 21 Years
Healthy volunteers
No
Inclusion criteria
* Patients 12-21 years of age * Presenting for surgery or procedure requiring anesthesia
Exclusion criteria
* Patients who are not able to complete the computerized survey due to physical or intellectual impairment * Patients who are non-English speaking
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Baseline | As part of standard of care, nurses contact the parents of children scheduled for surgery to obtain health history and any alcohol, drug, vaping and tobacco usage. For the study, adolescents were asked to complete a survey on REDCap regarding their alcohol, drug, vaping and tobacco usage and those responses were compared to the answers the parents gave to the nurses during pre-op phone call. |
| Alcohol Use | Baseline | Adolescents were asked in a REDCap survey Do you currently or have you ever drank alcohol? |
| Marijuana Use | Baseline | Adolescents were asked in a REDCap survey Do you currently or have you ever smoked or consumed marijuana, THC, or cannabis? |
| Vape Pen Use | Baseline | Adolescents were asked in a REDCap survey Do you currently or have you ever vaped? |
| Tobacco Use | Baseline | Adolescents were asked in a REDCap survey Do you currently or have you ever used tobacco? |
| Prescription Opioid Use for Acute Pain | Baseline | Adolescents were asked in a REDCap survey Do you currently or have you ever used a prescribed opioid for acute pain? |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Most Recent Tobacco Use | Baseline | Adolescents were asked in a REDCap survey When was the last time you used tobacco? |
| Age First Used Tobacco | Baseline | Adolescents were asked in a REDCap survey How old were you when you started using tobacco? |
| Most Recent Alcohol Use | Baseline | Adolescents were asked in a REDCap survey When was the last time you used alcohol? |
| Prescribed Opioid Use for Anything Other Than Pain | Baseline | Adolescents were asked in a REDCap survey Did you ever use that medication (prescribed opioid) for anything other than pain? |
| Prescribed Opioid Use Leading to Abuse | Baseline | Adolescents were asked in a REDCap survey Did your using prescribed opioid for anything other than pain lead to your abusing opioids/narcotics? |
| Most Recent Prescribed Opioid Use | Baseline | Adolescents were asked in a REDCap survey When was the last time you used a prescribed opioid for acute pain? |
| Age First Drank Alcohol | Baseline | Adolescents were asked in a REDCap survey How old were you when you first drank alcohol? |
| Most Recent Marijuana Use | Baseline | Adolescents were asked in a REDCap survey When was the last time you used marijuana? |
| Age First Used Marijuana | Baseline | Adolescents were asked in a REDCap survey How old were you when you first started using? |
| Most Recent Vape Pen Use | Baseline | Adolescents were asked in a REDCap survey When was the last time you vaped? |
| Age First Started Vaping | Baseline | Adolescents were asked in a REDCap survey How old were you when you first started vaping? |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Adolescents Patients 12-21 years undergoing anesthetic care
Survey: Survey assessing incidence, frequency, and type of illicit substance use | 250 |
| Total | 250 |
Baseline characteristics
| Characteristic | Adolescents |
|---|---|
| Age, Continuous | 15.8 years STANDARD_DEVIATION 2.3 |
| Race (NIH/OMB) American Indian or Alaska Native | 1 Participants |
| Race (NIH/OMB) Asian | 11 Participants |
| Race (NIH/OMB) Black or African American | 37 Participants |
| Race (NIH/OMB) More than one race | 12 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 2 Participants |
| Race (NIH/OMB) White | 187 Participants |
| Region of Enrollment United States | 250 participants |
| Sex: Female, Male Female | 141 Participants |
| Sex: Female, Male Male | 109 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 250 |
| other Total, other adverse events | 0 / 250 |
| serious Total, serious adverse events | 0 / 250 |
Outcome results
Primary
Alcohol Use
Adolescents were asked in a REDCap survey Do you currently or have you ever drank alcohol?
Time frame: Baseline
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Overall | Alcohol Use | No | 180 Participants |
| Overall | Alcohol Use | No response recorded | 1 Participants |
| Overall | Alcohol Use | Yes | 69 Participants |
Primary
Marijuana Use
Adolescents were asked in a REDCap survey Do you currently or have you ever smoked or consumed marijuana, THC, or cannabis?
Time frame: Baseline
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Overall | Marijuana Use | No response recorded | 1 Participants |
| Overall | Marijuana Use | No | 198 Participants |
| Overall | Marijuana Use | Yes | 51 Participants |
Primary
Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage
As part of standard of care, nurses contact the parents of children scheduled for surgery to obtain health history and any alcohol, drug, vaping and tobacco usage. For the study, adolescents were asked to complete a survey on REDCap regarding their alcohol, drug, vaping and tobacco usage and those responses were compared to the answers the parents gave to the nurses during pre-op phone call.
Time frame: Baseline
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Overall | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Vaping: Yes | 51 Participants |
| Overall | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Drug use: Yes | 63 Participants |
| Overall | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Tobacco: No | 482 Participants |
| Overall | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Vaping: No | 448 Participants |
| Overall | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Vaping: No response recorded | 1 Participants |
| Overall | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Alcohol: No response recorded | 1 Participants |
| Overall | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Alcohol: Yes | 74 Participants |
| Overall | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Alcohol: No | 425 Participants |
| Overall | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Tobacco: No response recorded | 1 Participants |
| Overall | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Drug use: No | 437 Participants |
| Overall | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Tobacco: Yes | 17 Participants |
| Adolescents | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Vaping: No response recorded | 1 Participants |
| Adolescents | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Alcohol: No response recorded | 1 Participants |
| Adolescents | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Alcohol: No | 180 Participants |
| Adolescents | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Alcohol: Yes | 69 Participants |
| Adolescents | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Drug use: No | 198 Participants |
| Adolescents | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Drug use: Yes | 52 Participants |
| Adolescents | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Vaping: No | 209 Participants |
| Adolescents | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Vaping: Yes | 40 Participants |
| Adolescents | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Tobacco: No response recorded | 1 Participants |
| Adolescents | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Tobacco: No | 237 Participants |
| Adolescents | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Tobacco: Yes | 12 Participants |
| Parents | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Tobacco: No | 245 Participants |
| Parents | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Vaping: Yes | 11 Participants |
| Parents | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Alcohol: Yes | 5 Participants |
| Parents | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Alcohol: No response recorded | 0 Participants |
| Parents | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Tobacco: No response recorded | 0 Participants |
| Parents | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Alcohol: No | 245 Participants |
| Parents | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Vaping: No response recorded | 0 Participants |
| Parents | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Drug use: Yes | 11 Participants |
| Parents | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Tobacco: Yes | 5 Participants |
| Parents | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Vaping: No | 239 Participants |
| Parents | Number of Participants With Adolescent and Parent Reported Alcohol, Drug, Vaping and Tobacco Usage | Drug use: No | 239 Participants |
Primary
Prescription Opioid Use for Acute Pain
Adolescents were asked in a REDCap survey Do you currently or have you ever used a prescribed opioid for acute pain?
Time frame: Baseline
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Overall | Prescription Opioid Use for Acute Pain | No | 215 Participants |
| Overall | Prescription Opioid Use for Acute Pain | Yes | 35 Participants |
Primary
Tobacco Use
Adolescents were asked in a REDCap survey Do you currently or have you ever used tobacco?
Time frame: Baseline
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Overall | Tobacco Use | No response recorded | 1 Participants |
| Overall | Tobacco Use | No | 237 Participants |
| Overall | Tobacco Use | Yes | 12 Participants |
Primary
Vape Pen Use
Adolescents were asked in a REDCap survey Do you currently or have you ever vaped?
Time frame: Baseline
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Overall | Vape Pen Use | No response recorded | 1 Participants |
| Overall | Vape Pen Use | No | 209 Participants |
| Overall | Vape Pen Use | Yes | 40 Participants |
Secondary
Age First Drank Alcohol
Adolescents were asked in a REDCap survey How old were you when you first drank alcohol?
Time frame: Baseline
Population: The number of participants that answered yes to the currently or ever drank alcohol question.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Overall | Age First Drank Alcohol | 16 years |
Secondary
Age First Started Vaping
Adolescents were asked in a REDCap survey How old were you when you first started vaping?
Time frame: Baseline
Population: The number of participants that answered yes to the currently or ever vaped question.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Overall | Age First Started Vaping | 15.5 years |
Secondary
Age First Used Marijuana
Adolescents were asked in a REDCap survey How old were you when you first started using?
Time frame: Baseline
Population: The number of participants that answered yes to the currently or ever used marijuana question.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Overall | Age First Used Marijuana | 16 years |
Secondary
Age First Used Tobacco
Adolescents were asked in a REDCap survey How old were you when you started using tobacco?
Time frame: Baseline
Population: The number of participants that answered yes to the currently or ever used tobacco question.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Overall | Age First Used Tobacco | 15 years |
Secondary
Most Recent Alcohol Use
Adolescents were asked in a REDCap survey When was the last time you used alcohol?
Time frame: Baseline
Population: The number of participants that answered yes to the currently or ever used alcohol question.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Overall | Most Recent Alcohol Use | Not currently using | 15 Participants |
| Overall | Most Recent Alcohol Use | Within the last 24 hours | 2 Participants |
| Overall | Most Recent Alcohol Use | Within the last week | 11 Participants |
| Overall | Most Recent Alcohol Use | Within the last year | 41 Participants |
Secondary
Most Recent Marijuana Use
Adolescents were asked in a REDCap survey When was the last time you used marijuana?
Time frame: Baseline
Population: The number of participants that answered yes to the currently or ever used marijuana question.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Overall | Most Recent Marijuana Use | Not currently using | 10 Participants |
| Overall | Most Recent Marijuana Use | Within the last 24 hours | 6 Participants |
| Overall | Most Recent Marijuana Use | Within the last week | 16 Participants |
| Overall | Most Recent Marijuana Use | Within the last year | 19 Participants |
Secondary
Most Recent Prescribed Opioid Use
Adolescents were asked in a REDCap survey When was the last time you used a prescribed opioid for acute pain?
Time frame: Baseline
Population: The number of participants that answered yes to the currently or have ever used a prescribed opioid for acute pain question.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Overall | Most Recent Prescribed Opioid Use | Not currently using | 13 Participants |
| Overall | Most Recent Prescribed Opioid Use | Within the last 24 hours | 3 Participants |
| Overall | Most Recent Prescribed Opioid Use | Within the last week | 3 Participants |
| Overall | Most Recent Prescribed Opioid Use | Within the last year | 15 Participants |
| Overall | Most Recent Prescribed Opioid Use | No answer | 1 Participants |
Secondary
Most Recent Tobacco Use
Adolescents were asked in a REDCap survey When was the last time you used tobacco?
Time frame: Baseline
Population: The number of participants that answered yes to the currently or ever used tobacco question.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Overall | Most Recent Tobacco Use | Within the last 24 hours | 3 Participants |
| Overall | Most Recent Tobacco Use | Within the last week | 2 Participants |
| Overall | Most Recent Tobacco Use | Within the last year | 2 Participants |
| Overall | Most Recent Tobacco Use | Not currently using | 5 Participants |
Secondary
Most Recent Vape Pen Use
Adolescents were asked in a REDCap survey When was the last time you vaped?
Time frame: Baseline
Population: The number of participants that answered yes to the currently or ever used vape pen question.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Overall | Most Recent Vape Pen Use | Not currently using | 11 Participants |
| Overall | Most Recent Vape Pen Use | Within the last 24 hours | 10 Participants |
| Overall | Most Recent Vape Pen Use | Within the last week | 12 Participants |
| Overall | Most Recent Vape Pen Use | Within the last year | 7 Participants |
Secondary
Prescribed Opioid Use for Anything Other Than Pain
Adolescents were asked in a REDCap survey Did you ever use that medication (prescribed opioid) for anything other than pain?
Time frame: Baseline
Population: The number of participants that answered yes to the currently or ever used prescribed opioid for acute pain question.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Overall | Prescribed Opioid Use for Anything Other Than Pain | No | 33 Participants |
| Overall | Prescribed Opioid Use for Anything Other Than Pain | Yes | 2 Participants |
Secondary
Prescribed Opioid Use Leading to Abuse
Adolescents were asked in a REDCap survey Did your using prescribed opioid for anything other than pain lead to your abusing opioids/narcotics?
Time frame: Baseline
Population: The number of participants that answered yes to the currently or ever used prescribed opioid for acute pain question.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Overall | Prescribed Opioid Use Leading to Abuse | No | 34 Participants |
| Overall | Prescribed Opioid Use Leading to Abuse | Yes | 1 Participants |