Variability and Excess in Opioid Prescribing Patterns After Cleft and Craniosynostosis Repairs.
Cleft Palate Craniofac J
; 60(7): 833-842, 2023 Jul.
Article
en En
| MEDLINE
| ID: mdl-35226537
ABSTRACT
OBJECTIVE:
To critically analyze pediatric opioid prescription patterns after cleft and craniosynostosis repairs.DESIGN:
Observational study 1) retrospectively reviewing pediatric opioid prescriptions from July 2018 to June 2019 and 2) prospectively surveying patients about actual opioid use from August 2019 to February 2020.SETTING:
Academic tertiary care pediatric hospital. PATIENTS 133 pediatric patients undergoing cleft lip and/or palate or craniosynostosis repairs. Prospective surveys were offered at postoperative visits; 45 of 69 eligible patients were enrolled. INTERVENTION None. MAIN OUTCOMEMEASURES:
Opioid doses prescribed at discharge and actual home opioid use.RESULTS:
90 patients with cleft lip and/or palate and 43 patients with craniosynostosis were included. Median prescribed opioid doses were 10.3 for cleft lip and/or palate procedures (range 0-75), and 14.3 for craniosynostosis repairs (range 0-50). In patients with cleft lip and/or palate, there was a negative correlation between age at surgery and prescribed opioid doses (rs = -0.228, p = 0.031). 45 patients completed surveys of home opioid use. No patients used more than 10 doses. Forty percent used no opioids at home, 33% used 1 to 2 doses, 18% used 3 to 5 doses, and 9% used 6 to 10 doses.CONCLUSIONS:
Opioid prescriptions vary widely after common craniofacial procedures. Younger patients with cleft lip and/or palate may be more likely to be prescribed more doses. Actual home opioid use is less than prescribed amounts, with most patients using five or fewer doses. A prescribing guideline is proposed.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Labio Leporino
/
Fisura del Paladar
/
Craneosinostosis
Tipo de estudio:
Observational_studies
/
Qualitative_research
Límite:
Child
/
Humans
Idioma:
En
Revista:
Cleft Palate Craniofac J
Asunto de la revista:
ODONTOLOGIA
Año:
2023
Tipo del documento:
Article
País de afiliación:
Estados Unidos