Department of Orthopaedic Surgery, University of Missouri - Columbia, Columbia, Missouri.
Department of Orthopaedic Surgery and the Thompson Laboratory for Regenerative Orthopaedics, University of Missouri - Columbia, Columbia, Missouri.
Mo Med. 2023 Jul-Aug;120(4):306-313.
Opioid medications are commonly prescribed after pediatric orthopaedic surgery, but there is a critical need to optimize prescribing practice. This study identifies socio-economic characteristics, surgical characteristics, and patient reported psychological factors influencing postoperative opioid use in this population and found that post-operative opioid use in this pediatric orthopaedic population is multifactorial. Physicians should consider implementing protocols for initial opioid prescriptions to cover two to three days following common orthopaedic surgeries for most pediatric patients.
阿片类药物在小儿矫形外科手术后通常会被开处，但现在急需优化阿片类药物的使用规范。这项研究发现，社会经济特征、手术特征和患者报告的心理因素会影响该人群的术后阿片类药物使用情况，且该小儿矫形外科人群的术后阿片类药物使用情况是多因素的。医生应该考虑制定初始阿片类药物处方的方案，为大多数小儿患者在常见矫形手术后的两到三天提供药物。
