Effects of Ohio's opioid prescribing limit for the geriatric minimally injured trauma patient - 18/03/20
, Samuel J. Zolin a, b, Alexandra Ferre b, Vanessa P. Ho a, Alexis R. Harvey a, Kevin T. Beel a, Esther S. Tseng a, Kristen Conrad-Schnetz b, Jeffrey A. Claridge a Abstract |
Background |
Geriatric patients, age ≥65, frequently require no operation and only short observation after injury; yet many are prescribed opioids. We reviewed geriatric opioid prescriptions following a statewide outpatient prescribing limit.
Methods |
Discharge and 30-day pain prescriptions were collected for geriatric patients managed without operation and with stays less than two midnights from May and June of 2015 through 2018. Patients were compared pre- and post-limit and with a non-geriatric cohort aged 18–64. Fall risk was also assessed.
Results |
We included 218 geriatric patients, 57 post-limit. Patients received fewer discharge prescriptions and lower doses following the limit. However, this trend preceded the limit. Geriatric patients received fewer opioid prescriptions but higher doses than non-geriatric patients. Fall risk was not associated with reduced prescription frequency or doses.
Conclusions |
Opioid prescribing has decreased for geriatric patients with minor injuries. However, surgeons have not reduced dosage based on age or fall risk.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Fewer discharge opioid prescriptions and lower dosages were given following Ohio's prescribing limit. |
• | Trauma surgeons and emergency medicine physicians appear to have reduced prescribing prior to the limit. |
• | Fall or fall history was not associated with reduction in opioid prescription frequency or dosage. |
Plan
Vol 219 - N° 3
P. 400-403 - mars 2020 Retour au numéro
Article précédent
- Discussion on: Effective reduction in stress induced postoperative hyperglycemia in hyperglycemia in bariatric surgery by better carb loading
- P. Knight, S. Verseman, A. Elian
- Discussion on: Effects of ohio's opioid prescribing limit for the geriatric minimally injured trauma patient
- B.T. Young, S.J. Zolin, K.T. Beel, A.R. Harvey, V.P. Ho, E.S. Tseng, J.A. Claridge
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