Bull Hosp Jt Dis (2013). 2022 Sep;80(3):282-285.
There is currently an alarming upward trend in the use of prescription opioids in the pediatric population. Previous medical use of prescription opioids has shown to correlate to non-medical use of prescription opioids. To combat this, institutions have started to look at prescribing patterns to understand and eventually standardize a pain protocol to reduce unnecessary analgesics after surgery. Opioids continue to be used widely for postoperative pain control in orthopedic patients. Therefore, this study examined the prescription patterns within a large pediatric orthopedic hospital consortium after closed reduction and percutaneous pinning for supracondylar humerus fractures.
A retrospective analysis was performed in order to understand the prescribing variability in analgesics for this patient population better. Descriptive statistics and chi-squared analysis were used to evaluate for prescribing patterns.
Narcotic medications were prescribed postoperatively to 49.6% of patients. There was no difference in narcotic prescription with length of stay or severity of fracture. Additionally, there were several documented prescribing errors, most commonly by a junior orthopedic resident.
There is significant variability in prescribing patterns among physicians after pediatric supracondylar humerus fractures. Understanding the patterns and implementing a more standardized approach to pain control may help to combat prescribing errors.
目前，儿科人群中处方类阿片类药物的使用呈惊人的上升趋势。以往对处方类阿片类药物的医学使用表明，这与非医学使用处方类阿片类药物有关。为了解决这个问题，医疗机构开始研究处方模式，以了解并最终标准化疼痛方案，减少手术后不必要的镇痛药。在骨科患者中，阿片类药物仍然广泛用于术后疼痛控制。因此，本研究检查了在接受闭合复位和经皮克氏针固定治疗肱骨髁上骨折后，大型儿科骨科医院联盟中的处方模式。
为了更好地了解该患者群体的镇痛药处方变异性，进行了回顾性分析。采用描述性统计和卡方分析评估处方模式。
49.6%的患者术后开具了麻醉性药物。住院时间或骨折严重程度与麻醉药物的处方无差异。此外，还记录了一些处方错误，最常见于初级骨科住院医师。
在治疗儿童肱骨髁上骨折后，医生的处方模式存在显著差异。了解这些模式并实施更标准化的疼痛控制方法可能有助于解决处方错误。
