One institution's experience with s elf‐audit of opioid prescribing practices for common cervical procedures
| Autor: | Okenwa Okose, Tiffany Wang, Gregory W. Randolph, Nicholas B. Abt, Kevin S. Emerick, Dipti Kamani |
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| Rok vydání: | 2021 |
| Předmět: |
Pain
Postoperative medicine.medical_specialty Demographics business.industry Pain medication Retrospective cohort study Audit Perioperative Logistic regression Opioid prescribing Patient Discharge Analgesics Opioid 03 medical and health sciences 0302 clinical medicine Otorhinolaryngology 030220 oncology & carcinogenesis Emergency medicine Humans Medicine 030212 general & internal medicine Practice Patterns Physicians' business Aged Retrospective Studies |
| Zdroj: | Head & Neck. |
| ISSN: | 1097-0347 1043-3074 |
| Popis: | 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 |
| Databáze: | OpenAIRE |
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