Spine Surgery Patients Prescribed the Most Postoperative Narcotics
MONDAY, July 27, 2020 -- Spine surgery patients are prescribed the most narcotics in the three months following surgery, and patient-reported pain at hospital discharge is associated with increased narcotic use in this period, according to a study published in the July 1 issue of the Journal of the American Academy of Orthopaedic Surgeons.
Nina Fisher, M.D., from NYU Langone Orthopedic Hospital in New York City, and colleagues used electronic medical records to identify 5,030 patients undergoing orthopedic trauma, spine, and adult reconstruction procedures between 2012 and 2015. The authors examined associations between patient-reported pain scores at discharge and narcotic use during the 90-day postoperative period.
The researchers found that spine patients had the longest length of stay, experienced the highest mean pain during length of stay, and were prescribed the most morphine in the 90-day postoperative period. Pain scores at discharge markedly impacted the quantity of narcotics prescribed in the 90-day postoperative period.
"We're performing surgeries to alleviate pain, so it's important to have a greater understanding of high-risk populations to help orthopedic surgeons safely address pain management following surgery," a coauthor said in a statement. "We can obtain a pain management consult before discharge to lower their visual analog scale pain score or use a multimodal analgesia protocol (a regimen of nonopioids and anesthesia to minimize the use of perioperative opioids) during surgery."
One author disclosed financial ties to Exactech.
© 2020 HealthDay. All rights reserved.
Posted: July 2020
Read this next
MONDAY, Sept. 21, 2020 -- Injuries associated with glass tables are common, and more than half are attributed to faulty tables, according to a study recently published in the...
TUESDAY, Sept. 15, 2020 -- A score based on seven variables can accurately predict the probability of poorly controlled pain after elective spine surgery, according to a study...
MONDAY, Sept. 14, 2020 -- More than 83 percent of overdose deaths during January to June 2019 involved illicitly manufactured fentanyls (IMFs), heroin, cocaine, or methamphetamine...
More News Resources
- FDA Medwatch Drug Alerts
- Daily MedNews
- News for Health Professionals
- New Drug Approvals
- New Drug Applications
- Drug Shortages
- Clinical Trial Results
- Generic Drug Approvals
- Monthly Update Archive
Subscribe to our Newsletter
Whatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox.