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Household Income and Parental Educational Level Affect Post-Operative Opioid Usage in Pediatric Orthopaedic Patients
Michael A Ewing1, Lauren N Livesay1, James L Cook2
1Department of Orthopaedic Surgery, University of Missouri - Columbia, Columbia, Missouri.
Optimizing opioid prescribing after pediatric orthopaedic surgery is crucial. Postoperative opioid use is multifactorial, influenced by patient and surgical factors, suggesting shorter initial prescriptions.
Area of Science:
- Pediatric Orthopaedics
- Pain Management
- Pharmacology
Background:
- Opioid medications are frequently prescribed following pediatric orthopaedic surgery.
- There is a significant need to refine and optimize current opioid prescribing practices in this patient group.
Purpose of the Study:
- To identify key socio-economic, surgical, and psychological factors affecting postoperative opioid consumption in pediatric orthopaedic patients.
- To inform evidence-based recommendations for opioid prescribing protocols.
Main Methods:
- The study analyzed socio-economic characteristics.
- Surgical variables were examined.
- Patient-reported psychological factors were assessed to understand their influence on opioid use.
Main Results:
- Postoperative opioid use in pediatric orthopaedic surgery is a complex issue with multiple contributing factors.
- Socio-economic status, surgical procedure details, and psychological elements all play a role.
Conclusions:
- Opioid use following pediatric orthopaedic surgery is multifactorial.
- Physicians should consider protocols for initial opioid prescriptions limited to two to three days for most common procedures.
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