Out of sight, out of mind? The impact on trauma patient opioid use when the medicine administration schedule is not displayed - 07/03/23
, Jason Aubrey a, Matthew M. Lypka b, Steffen Pounders c, Laura A. Krech c, Chelsea S. Fisk c, Alistair J. Chapman a, c, d, Charles J. Gibson a, c, dAbstract |
Introduction |
The impact of a visual pain medication schedule on opioid use among hospitalized trauma patients is unknown. We examined whether removal of this displayed schedule would decrease oral morphine equivalent (OME) use.
Methods |
This retrospective cohort study compared OME use in trauma patients in the inpatient setting before and after removing the patient-facing pain medication schedule that is typically displayed on the patient's white board for all trauma admissions.
Results |
707 patients were included. The control (n = 308, 43.6%) and intervention (n = 399, 56.4%) groups were similar in age (p = 0.06). There was no difference in total inpatient OME use between the control and intervention groups, median 50 (IQR: 22.5–118) vs 60 (IQR: 22.5–126), p = 0.79, respectively. No difference in total OME use was observed when patients were stratified by age, sex, race, ISS, and length of hospital stay.
Conclusion |
Removing a visual display of the pain medication schedule did not decrease OME use in inpatient trauma patients.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Removing the in-room displayed pain medication schedule in hospitalized trauma patients did not decrease opioid use. |
• | Those without a displayed pain medication schedule used slightly more opioids despite using more non-narcotic modalities. |
• | A displayed pain medication schedule for hospitalized trauma patients could represent an opportunityto decrease opioid use. |
Keywords : Pain, Trauma, Analgesics, Opioid, Injury severity score
Plan
Vol 225 - N° 3
P. 504-507 - mars 2023 Retour au numéro
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