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Establishing Geriatric Opiate Use Patterns in Trauma.

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Area of Science:

  • Trauma Surgery
  • Geriatric Medicine
  • Pain Management
  • Pharmacology

Background:

  • Opioid overprescription is common postoperatively.
  • Limited research exists on opioid use in geriatric trauma patients.
  • Older adults face unique pain management challenges, including polypharmacy.

Purpose of the Study:

  • To assess narcotic use in geriatric trauma patients.
  • To establish a reference point for reducing opioid dependence in this demographic.
  • To analyze opioid prescribing patterns across various injury types.

Main Methods:

  • Retrospective database creation of patients aged 65+ at a level 1 trauma center.
  • Data collection included patient demographics, injury patterns, and opioid prescriptions (inpatient and discharge).
  • Calculated total and average daily morphine milligram equivalents (MME) and tracked follow-up requests.

Main Results:

  • 475 geriatric patients admitted for trauma; 219 required surgery.
  • Average inpatient MME was 169.0 (daily 22.89); average discharge MME was 79.27.
  • 29 patients requested refills at follow-up, with 27 receiving further narcotic prescriptions.

Conclusions:

  • This study provides a crucial baseline for opioid consumption in geriatric trauma patients.
  • Highlights the need for further research into mitigating opioid risks in this population.
  • Informs future interventions aimed at reducing opioid dependence among older adults after trauma.