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An initiative to reduce opioid use in trauma patients by educating providers and patients on non-opioid alternatives was successful. This strategy lowered prescribed opioid dosage at discharge for acute traumatic injuries.

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Area of Science:

  • Trauma Surgery
  • Pain Management
  • Pharmacology

Background:

  • Opioid overprescription is a significant public health concern.
  • Effective pain management strategies are crucial for patients with acute traumatic injuries.

Purpose of the Study:

  • To evaluate an initiative aimed at reducing prescription opioid use in patients with acute traumatic injuries.
  • To assess the impact of provider and patient education on non-opioid analgesics.

Main Methods:

  • Retrospective analysis of trauma patient data before and after a pain management strategy implementation.
  • Primary endpoint: prescribed daily milligram morphine equivalents (MME) at discharge.
  • Secondary endpoints: inpatient opioid/alternative analgesic use, pain control, ileus, length of stay, discharge disposition.

Main Results:

  • Median daily discharge MME decreased significantly in the post-intervention cohort (45 MME vs. 90 MME).
  • This reduction was primarily observed in patients without baseline opioid prescriptions.
  • Utilization of gabapentinoids, skeletal muscle relaxants, and clonidine increased; NSAID and acetaminophen use decreased.

Conclusions:

  • Targeted education on minimizing opioid use effectively reduced MME at discharge for trauma patients.
  • The initiative demonstrated the potential for non-opioid analgesics in managing pain after acute traumatic injuries.