Variation in postoperative narcotic prescribing after pediatric appendectomy

Journal of Pediatric Surgery
Sarah B CairoDavid H Rothstein

Abstract

Overuse of prescription opioids by both pediatric and adult patients has garnered significant attention in recent years. Educational interventions have been shown to decrease prescription opioids post-operatively in the adult population; similar data have not previously been reported in pediatrics. Educational interventions included staff education, institution of opioid standardization protocol, and distribution of educational materials to families. Chart review was performed pre- and post-intervention to compare prescribing practices following appendectomy in patients less than 19 years of age. Follow-up phone calls were used to assess patient satisfaction and pain control. Three hundred thirteen cases were identified pre-intervention [PRE] and compared to 119 cases postintervention [POST]. 84.3% of patients were given a prescription for opioids at time of discharge in the PRE cohort compared to 6.7% (p < 0.001) POST. There was a significant increase in non-opioid analgesia (p < 0.001) POST. There was no significant variability in opioid usage by type of surgery performed, attending provider, or patients' gender or age. Of the patients in the POST cohort, 60.5% were available for telephone follow-up. More than 80% of patients...Continue Reading

Citations

Nov 7, 2019·Journal of Pediatric Hematology/oncology·Sara A MansfieldAndrew J Murphy
Jan 13, 2021·Pediatric Surgery International·Christina M TheodorouErin G Brown
Mar 22, 2021·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Renee C B ManworrenNaomi Kaduwela
Nov 9, 2019·Journal of Pediatric Surgery·Mollie R Freedman-WeissDavid H Stitelman
Apr 5, 2021·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Renee C B ManworrenJessica Cooper
Sep 11, 2021·The Journal of Surgical Research·Elizabeth A HedgesUNKNOWN Delivery of Surgical Care Committee for the Section on Surgery of the American Academy of Pediatrics

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