Effect of State Legislation on Opioid Prescribing Practices After Surgery at a Pediatric Hospital
Autor: | Jeffrey D. Lancaster, Justin J. Ray, Diane Bronikowski, Taylor L. Shackleford, Daniel R. Grant |
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Rok vydání: | 2021 |
Předmět: |
Narcotics
medicine.medical_specialty Narcotic medicine.medical_treatment Legislation Opioid prescribing Drug Prescriptions Article Pediatric hospital Health care medicine Humans Medical prescription Practice Patterns Physicians' Child health care economics and organizations Retrospective Studies Pain Postoperative business.industry medicine.disease Hospitals Pediatric United States Surgery Analgesics Opioid Pediatrics Perinatology and Child Health Cohort business Pediatric trauma |
Zdroj: | Acad Pediatr |
ISSN: | 1876-2867 |
Popis: | OBJECTIVE: As abuse of prescription narcotics continues to create a growing healthcare crisis throughout the United States, states have passed legislation designed to alter narcotic prescribing habits. West Virginia State Bill 273 limited the quantity of narcotics practitioners were able to prescribe. Our objective was to determine the effect of this bill on narcotic prescribing practices for pediatric surgical patients. METHODS: A hospital-wide database at a pediatric trauma center was queried to identify all pediatric patients undergoing surgery between 1/1/17 and 9/12/19 and all medications prescribed to this cohort. Narcotic prescriptions written for these patients in the two months following surgery were isolated. The percent of patients receiving a post-operative narcotic prescription and the morphine milligram equivalents (MME) per prescription were compared before and after the law’s implementation. RESULTS: The number of pediatric patients identified as having surgery in the study period was 10,176; 6069 were before the law passed and 4107 were after. The percentage of patients receiving a narcotic prescription was 46.0% before the law was passed, decreasing to 36.8% after the law (p |
Databáze: | OpenAIRE |
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