常见外科手术后阿片类和非阿片类镇痛药的出院处方模式。
Discharge prescription patterns of opioid and nonopioid analgesics after common surgical procedures.
作者信息
Nooromid Michael J, Blay Eddie, Holl Jane L, Bilimoria Karl Y, Johnson Julie K, Eskandari Mark K, Stulberg Jonah J
机构信息
Division of Vascular Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
出版信息
Pain Rep. 2018 Feb 6;3(1):e637. doi: 10.1097/PR9.0000000000000637. eCollection 2018 Jan.
INTRODUCTION
Recent literature has shown a wide variation in the prescribing patterns of opioids after elective surgery. We conducted an evaluation of discharge opioid prescribing after elective surgical procedures to determine whether opioid-prescribing patterns varied at our institution.
METHOD
A single academic medical center retrospective review of patients undergoing laparoscopic cholecystectomy, laparoscopic appendectomy, open umbilical hernia repair, simple mastectomy, or thyroidectomy between July 2015 and July 2016.
RESULTS
Among a total of 615 unique surgical cases, we found a wide variation in the number of pills and morphine milligram equivalents prescribed for each procedure evaluated. In addition, 94.8% of all patients discharged received a prescription for opioids, whereas only 15.6% of patients received a prescription for a nonopioid analgesic.
CONCLUSION
The number and strength of opioids prescribed after surgery can vary widely at a single institution. Further research is needed to elucidate variations in prescribing.
引言
近期文献表明，择期手术后阿片类药物的处方模式存在很大差异。我们对择期手术后出院时的阿片类药物处方进行了评估，以确定我们机构的阿片类药物处方模式是否存在差异。
方法
对2015年7月至2016年7月期间接受腹腔镜胆囊切除术、腹腔镜阑尾切除术、开放性脐疝修补术、单纯乳房切除术或甲状腺切除术的患者进行单中心学术医学回顾。
结果
在总共615例独特的手术病例中，我们发现为每种评估的手术所开的药丸数量和吗啡毫克当量存在很大差异。此外，所有出院患者中有94.8%接受了阿片类药物处方，而只有15.6%的患者接受了非阿片类镇痛药处方。
结论
在单一机构中，手术后开具的阿片类药物的数量和强度可能有很大差异。需要进一步研究以阐明处方差异。
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