Opioid prescription patterns for pediatric orthopaedic fracture patients.
Opioid prescription patterns for pediatric orthopaedic fracture patients.
复制标题
DOI：
10.1016/j.jcot.2018.08.022
复制
发表时间：
2020-03-01
影响因子：
--
通讯作者：
Yang, Jingzhen Z
中科院分区：
文献类型：
--
作者：
Iobst, Christopher A;Singh, Satbir;Yang, Jingzhen Z
背景技术背景：虽然儿科人群中因阿片类药物中毒而住院的人数正在增加，但医疗保健提供者的处方行为模式仍不清楚。本研究的目的是确定术后儿科骨科骨折患者的骨科团队的阿片类药物处方模式，并检查患者人口统计学、损伤类型和提供者类型是否与出院时的阿片类药物处方模式相关。对所有年龄在0-18岁之间接受肘、前臂、腕、股骨手术的患者进行回顾性病历审查，2014年至2016年在一家大型儿童医院发生胫骨和踝关节骨折。入选标准为手肘、前臂、腕、股骨、胫骨或踝关节孤立性手术骨折患者，出院时接受骨科团队成员开具的阿片类药物处方。排除标准包括患者出院没有阿片类药物或患者出院阿片类药物处方从另一个医疗team.RESPONSE：1000独特的患者（546名男性）被确定，平均年龄为7.9岁。最常见的骨折是肘关节（67.2%），其次是股骨（12.4%）、踝关节（9.4%）、前臂（5.8%）、腕关节（4.6%）和胫骨（1.6%）。阿片类药物处方的平均剂量为每例患者28.4（SD = 11.5）。所有处方均遵循每种药物的推荐指南。年龄较大的患者（p
BACKGROUND: While hospitalizations attributed to opioid poisonings are increasing in the pediatric population, the patterns of prescribing behaviors of health care providers remains unclear. The aims of this study were to identify the opioid prescribing patterns of an orthopaedic team for post-surgical pediatric orthopaedic fracture patients, and to examine whether patient demographics, injury type, and type of providers were associated with the opioid prescribing patterns at discharge.METHODS: A retrospective chart review was performed among all patients aged 0-18 years undergoing surgery for elbow, forearm, wrist, femur, tibia and ankle fractures between 2014 and 2016 at a large children's hospital. Inclusion criteria were patients with isolated operative fractures involving the elbow, forearm, wrist, femur, tibia or ankle who received an opioid prescription at discharge prescribed by a member of the orthopaedic team. Exclusion criteria included patients discharged without opioids or patients discharged with opioid prescriptions from another medical team.RESPONSE: 1000 unique patients (546 male) were identified, with average age of 7.9 years. The most common fracture was elbow (67.2%), followed by femur (12.4%), ankle (9.4%), forearm (5.8%), wrist (4.6%), and tibia (1.6%). Average dose of opioids prescribed was 28.4 (SD = 11.5) per patient. All prescriptions followed recommended guidelines for each medication. Patients who were older (p