MDCalc

Opioid Risk Tool (ORT) for Narcotic Abuse

Estimates risk of opioid-related aberrant behaviors.

This tool studied patients at a chronic pain clinic.

Sex
Age 16-45
History of preadolescent sexual abuse
History of depression
History of ADD, OCD, bipolar disorder, or schizophrenia
Personal history of alcohol abuse
Personal history of illegal drug abuse
Personal history of prescription drug abuse
Family history of alcohol abuse
Family history of illegal drug abuse
Family history of prescription drug abuse

Result:

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Advice
  • Pain medications should not be withheld for painful conditions simply because a patient is deemed “high risk” by the ORT, but these patients should be considered for other modalities of pain control if appropriate.
  • These high risk patients may be appropriate candidates for referral to pain management.
  • Providers should exercise caution when starting any patient on chronic opiates.