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Prospective analysis of home narcotic consumption and management of excess narcotic prescription following adolescent idiopathic scoliosis surgery

التفاصيل البيبلوغرافية
العنوان: Prospective analysis of home narcotic consumption and management of excess narcotic prescription following adolescent idiopathic scoliosis surgery
المؤلفون: John, Garcia-Muñoz, Courtney, Elblein, Wyatt B, David, Ali, Elaydi, Dominick, Tuason
المصدر: Spine Deformity. 11:651-656
بيانات النشر: Springer Science and Business Media LLC, 2022.
سنة النشر: 2022
مصطلحات موضوعية: Orthopedics and Sports Medicine
الوصف: The aim of this study was to identify factors associated with the outpatient narcotic intake of patients following posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS) and to introduce a safe and effective method of disposing of unused narcotics.Following Institutional Review Board approval, retrospective review of prospectively collected data from patients undergoing PSF for AIS took place. Pain scores, narcotic use, patient demographic data, pre-, intra-, and postoperative parameters, and discharge data were gathered via chart review. Patients were divided into two groups according to home narcotic use, high use (top 25th percentiles) and low use (bottom 75th percentiles), and multivariate statistical analysis was conducted. Narcotic surplus was collected during postoperative clinic visits and disposed of using biodegradable bags.Statistical analysis of 27 patients included in the study showed that patients with a higher home narcotic use correlated with increased length of hospitalization with an average of 3.4 days compared to the lower-use group of 2.8 day (p = 0.03). Higher-use group also showed increased inpatient morphine milligram equivalent than the lower-use group. There was no significant difference of home narcotic use when looking at patient age, height, weight, BMI, levels fused, intraoperative blood loss, or length of surgery. A total of 502 narcotic doses were disposed of in the clinic.Our study suggests that there are not a significant number of patient- or surgical-level factors predisposing patients to increased home narcotic usage following spinal fusion for adolescent idiopathic scoliosis.Level I, prospective study.
تدمد: 2212-1358
2212-134X
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d8d314c691930279f6f61757e55b8a0a
https://doi.org/10.1007/s43390-022-00637-y
حقوق: CLOSED
رقم الأكسشن: edsair.doi.dedup.....d8d314c691930279f6f61757e55b8a0a
قاعدة البيانات: OpenAIRE
الوصف
تدمد:22121358
2212134X