Post-discharge opioid prescribing after laparoscopic appendicectomy and cholecystectomy
| Autor: | Jie Zhao, Stephen R. Smith, Suzanne Di Sano, Luke Peters, Peter Pockney, Jennifer Nolan, Rosemary Carroll, Scott Gelzinnis |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Aftercare Tertiary referral hospital Drug Prescriptions 03 medical and health sciences 0302 clinical medicine medicine Appendectomy Humans Medical prescription Practice Patterns Physicians' Pain Postoperative business.industry Public health Australia Retrospective cohort study General Medicine Patient Discharge Analgesics Opioid Opioid Cholecystectomy Laparoscopic 030220 oncology & carcinogenesis Emergency medicine 030211 gastroenterology & hepatology Surgery Cholecystectomy Laparoscopy Opiate business Developed country medicine.drug |
| Zdroj: | ANZ journal of surgeryReferences. 90(6) |
| ISSN: | 1445-2197 |
| Popis: | BACKGROUND Opioid over-prescription following surgery is a significant public health issue in most developed countries. Multiple studies have been conducted in the USA demonstrating and investigating the issue; however, there is a lack of literature addressing this topic in the Australian setting. The aim of this study is to review prescribing practices at an Australian tertiary referral hospital on discharge in patients having undergone laparoscopic cholecystectomy (LC) or laparoscopic appendicetomy (LA). Additionally, to identify potential factors which influence medical officer prescribing practices. METHODS A retrospective observational study on opioid prescribing practice on all patients who underwent LC or LA over a 12-month period at an Australian tertiary referral hospital. RESULTS A total of 435 patients (223 LC, 214 LA) were prescribed a mean opioid dose on discharge of 25 oral morphine milli-equivalents (range 0-180 morphine milli-equivalents). Less opioids were prescribed following elective procedures (42% versus 10%, P |
| Databáze: | OpenAIRE |
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