Opioid Prescribing Patterns After Head and Neck Surgery
| Autor: | Xiaoning Liu, Daohai Yu, Punam A Patel, Cecelia E. Schmalbach, Lavanya Nagappan |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Postoperative pain Opioid prescribing 03 medical and health sciences 0302 clinical medicine medicine Humans Medical prescription Practice Patterns Physicians' 030223 otorhinolaryngology Intensive care medicine Pain Postoperative business.industry Middle Aged Analgesics Opioid Otorhinolaryngology Opioid Head and Neck Neoplasms 030220 oncology & carcinogenesis Head and neck surgery Surgery Female Stewardship business medicine.drug |
| Zdroj: | Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 165(4) |
| ISSN: | 1097-6817 |
| Popis: | Postoperative prescription narcotics increase access to opioids and associated abuse among patients, family, and acquaintances. Judicious opioid stewardship is required. Best practice questions remain for larger head and neck surgeries. We aim to review opioid utilization patterns in an urban patient population to identify patients at risk for poor postoperative pain control.Case series with planned chart review for patients undergoing head and neck surgery (2015-2018).Single urban hospital.Outcome measures included postoperative phone calls and emergency room visits as markers for inadequate pain control. Age, sex, race, body mass index (BMI), smoking status, comorbidities, prior narcotic filling behavior, surgery type, and duration were evaluated as potential risk factors for pain control. Chi-square and Wilcoxon tests were used for group comparisons.In total, 215 patients met inclusion criteria: male (22%), white/Hispanic (47%), and African American (44%). Median BMI was 31.6 kg/mFemale sex, younger age, smokers, and high inpatient opioid dose requirements are associated with inadequately controlled pain. These patients may benefit from additional education, earlier postoperative visits, and a more comprehensive nonopioid regimen. |
| Databáze: | OpenAIRE |
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