External Validation of an Algorithm to Guide Opioid Administration at the End of Surgery-Protocol for an Observational Cohort Study of the OPIAID Algorithm.
Journal:
Acta anaesthesiologica Scandinavica
Published Date:
Jul 1, 2025
Abstract
BACKGROUND: Despite advances in pain management, inadequate pain relief and opioid-related adverse events remain common challenges in perioperative care, often contributing to prolonged recovery and reduced quality of life. The perioperative opioid algorithms for individualized dosing (OPIAID) project aims to develop machine-learning algorithms tailored to provide patient-specific opioid dosing across the different phases of perioperative care. For each phase, eight models are trained on granular data from 1.1 million surgical procedures, including demographic and surgical details, vital signs, administered analgesics, pain, and opioid-related adverse events. The two most accurate models will proceed to external validation. The best-performing model will subsequently be tested as a decision support against current standard of care.