One institution's experience with self-audit of opioid prescribing practices for common cervical procedures.

Autor: Wang TV; Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA., Okose O; Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA., Abt NB; Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA., Kamani D; Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA., Emerick KS; Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA., Randolph GW; Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA.
Jazyk: angličtina
Zdroj: Head & neck [Head Neck] 2021 Aug; Vol. 43 (8), pp. 2385-2394. Date of Electronic Publication: 2021 Apr 02.
DOI: 10.1002/hed.26697
Abstrakt: Background: We aim to audit our institution's opioid prescribing practices after common cervical procedures.
Methods: Retrospective cohort study from one medical center. Reviewed records from 2016-2019 for 472 patients who underwent one of several common cervical procedures. Data collected on demographics, perioperative details, in-hospital pain medication use, and opioids prescribed at discharge. Multivariable logistic regression was run.
Results: In hospital, median daily milligram morphine equivalents (MME) was 4 (IQR 0-15). Median MME prescribed at discharge was 112.5 MME (IQR 75-150). 3/472 patients received NSAIDs. Predictors of decreased discharge MME were age 70 and older (OR 0.33, p = 0.037) and more recent year (compared to 2016, OR 0.23 [p = 0.031] for 2017, OR 0.13 [p = 0.001] for 2018, and OR 0.070 [p < 0.001] for 2019).
Conclusions: MME prescribed at discharge was 28 times the daily in-hospital MME. Only 3/472 patients received postoperative NSAIDs. Self-auditing of opioid prescribing practices identifies actionable items for change.
(© 2021 Wiley Periodicals LLC.)
Databáze: MEDLINE
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