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Ninety-day Postoperative Narcotic Use After Hospitalization for Orthopaedic Trauma.
- Source :
-
The Journal of the American Academy of Orthopaedic Surgeons [J Am Acad Orthop Surg] 2020 Jul 01; Vol. 28 (13), pp. e560-e565. - Publication Year :
- 2020
-
Abstract
- Background: The purpose of this study was to compare narcotic use in the 90-day postoperative period across orthopaedic trauma, spine, and adult reconstruction patients and examine whether patient-reported pain scores at discharge correlate with narcotic use during the 90-day postoperative period.<br />Methods: Electronic medical record query was done between 2012 and 2015 using diagnosis-related groups for spine, adult reconstruction, and trauma procedures. Demographics, length of stay (LOS), visual analog scale pain scores during hospitalization, and narcotics prescribed in the 90-day postoperative period were collected. Multivariate analysis and linear regression were done.<br />Results: Five thousand thirty patients were analyzed. Spine patients had the longest LOS, highest mean pain during LOS, and were prescribed the most morphine in the 90-day postoperative period. Linear regression revealed that pain scores at discharge markedly influence the quantity of narcotics prescribed in the 90-day postoperative period.<br />Discussion: Patient-reported pain at hospital discharge was associated with increased narcotic use in the 90-day postoperative period.
- Subjects :
- Adult
Aged
Aged, 80 and over
Female
Humans
Length of Stay
Male
Medical Records
Middle Aged
Pain Measurement
Postoperative Period
Spine surgery
Time Factors
Drug Utilization statistics & numerical data
Hospitalization
Morphine administration & dosage
Narcotics administration & dosage
Pain, Postoperative drug therapy
Pain, Postoperative prevention & control
Patient Outcome Assessment
Wounds and Injuries surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1940-5480
- Volume :
- 28
- Issue :
- 13
- Database :
- MEDLINE
- Journal :
- The Journal of the American Academy of Orthopaedic Surgeons
- Publication Type :
- Academic Journal
- Accession number :
- 31714420
- Full Text :
- https://doi.org/10.5435/JAAOS-D-17-00825