Investigating the Impact of Formal Interventions on Reducing Residual Opioids in the Home Following Legitimate Prescribing for Acute Post-surgical Pain in Pediatric Patients.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Opioid Use, Unspecified
- Sponsor
- Indiana University
- Enrollment
- 83
- Locations
- 2
- Primary Endpoint
- Assess participation in medication take back through follow up phone interview questionnaire.
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The overall objective of this study is to evaluate strategies to reduce unused opioids prescribed for pediatric acute post-surgical pain management.
Detailed Description
Prescription opioids are abused by an estimated 12.5 million Americans, and accidental opioid overdose is the leading cause of injury death in the US. Many of these drugs originate from leftover prescription opioids related to postoperative overprescribing, lack of proper disposal, and unsafe home storage. Governmental guidelines indicate that leftover prescription opioids should be preferentially returned to a drug take back site; however, many people do not utilize these programs due to travel distance, lack of transportation, or other factors. The aims are to quantify the amount of unused opioids in the home following painful pediatric surgical procedures, investigate the impact of formal interventions on disposal of residual opioids in the home following these surgeries, and to identify current behaviors of adolescents and their family members in the handling of unused prescribed opioids.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Male or female children ages 12-17.9 years old
- •ASA physical status 1 and 2
- •Patients undergoing primary posterior spinal fusion surgery for correction of idiopathic scoliosis.
- •Patients undergoing Nuss bar correction of pectus excavatum deformity.
Exclusion Criteria
- •Oxycodone allergy
- •severe sleep apnea
- •developmental delay
- •neurological disorders
- •liver disease/impairment
- •renal disease/decreased renal function
- •patients on opioid therapy prior to surgery
- •Requires a translator for communication in English
Outcomes
Primary Outcomes
Assess participation in medication take back through follow up phone interview questionnaire.
Time Frame: Post-discharge days 8-10
Assess the degree of participation in medication take back programs to dispose of any residual opioid medications following completion of analgesic therapy.
Assess participation in medication home disposal through follow up phone interview questionnaire.
Time Frame: Post-discharge days 8-10
Assess the degree of participation in medication home disposal to dispose of any residual opioid medications following completion of analgesic therapy.
Quantification of residual opioids.
Time Frame: Post-discharge days 8-10
Identify if there are left over opioid medications following completion of analgesic therapy, and if so, how many?
Secondary Outcomes
- Identify noncompliance/unsafe behaviors that contribute to retention of residual opioids through follow up phone interview questionnaire.(Post-discharge days 8-10)
- Frequency of opioid consumption through follow up phone interview questionnaire.(Post-operative day 1 through post-discharge day 10)
- Average daily pain scores reported as values on Numerical Rating Scale.(Preoperatively through post-discharge day #10)