Department of Orthopaedic Surgery, Martin Army Community Hospital, Fort Benning, Georgia.
William Beaumont Army Medical Center Department of Orthopaedic Surgery, El Paso, Texas.
J Surg Orthop Adv. 2021 Summer;30(2):85-89.
We sought to examine the relationship between opioid prescribing patterns and patient reported satisfaction with care. Opioid prescribing was characterized in terms of morphine equivalent daily dosing (MEDD), total morphine equivalent dosing (TMED), and total number of opioid prescriptions. A total of 1,666 opioid prescriptions were written for a TMED of 379,660 and a median MEDD of 204 (interquartile range [IQR] 195-269) from 2017-2019. Two hundred and forty-four patient satisfaction surveys were obtained for review and comparison. During the study period, 2,358 cases were performed, and no statistically significant differences were found with respect to case distribution among orthopaedic surgeons at our institution. High patient satisfaction, defined as achieving a 100 on a 0-to-100 scale, was found to have no association with MEDD (odds ratio = 0.968; 95% confidence interval [CI], 0.925-1.014), TMED (odds ratio = 1.00; 95% CI, 1.00-1.01), or total number of opioid prescriptions (odds ratio = 1.003; 95% CI, 0.905-1.112). (Journal of Surgical Orthopaedic Advances 30(2):085-089, 2021).
我们试图研究阿片类药物处方模式与患者对护理满意度之间的关系。阿片类药物处方的特征在于吗啡等效日剂量 (MEDD)、总吗啡等效剂量 (TMED) 和阿片类药物处方总数。在 2017-2019 年期间，共开出了 1666 份 TMED 为 379660、MEDD 中位数为 204（四分位距 [IQR] 195-269）的阿片类药物处方。共获得了 244 份患者满意度调查进行审查和比较。在研究期间，共进行了 2358 例手术，我们机构的骨科医生在病例分布方面没有发现统计学上的显著差异。高患者满意度（定义为在 0 到 100 的评分中达到 100）与 MEDD（比值比 = 0.968；95%置信区间 [CI]，0.925-1.014）、TMED（比值比 = 1.00；95%CI，1.00-1.01）或阿片类药物处方总数（比值比 = 1.003；95%CI，0.905-1.112）无关。（《外科矫形进展杂志》30(2):085-089, 2021）。
