Toward Zero Prescribed Opioids for Outpatient General Surgery Procedures: a Prospective Cohort Trial
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 入组人数
- 129
- 试验地点
- 1
- 主要终点
- Morphine Milligram Equivalents Taken by Participants
研究概览
简要总结
Investigators have created an opioid reduction "package" which includes patient education, non-narcotic pain control instructions, and limited (or no) opioid pain prescriptions provided at discharge in an attempt to reduce the number of opioid consumption after outpatient general surgery.
详细描述
Between November 2019 and July 2021, patients undergoing elective inguinal hernia repair (IHR) or cholecystectomy were enrolled in the study. Patients were divided into three cohorts: Control, opioid sparing (OS), or zero-opioid (ZO). Control patients did not have any intervention; OS patients had an opioid reduction intervention protocol applied (patient education and perioperative multimodal analgesia) and were provided an opioid prescription at discharge; the ZO had the same protocol, however patients were not provided opioid prescriptions at discharge. Two weeks after discharge patients were interviewed to record opioid consumption, pain scores, and level of satisfaction since discharge.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 99 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Opioid naïve patients
- •Age > 18
- •Being scheduled for an outpatient elective inguinal hernia repair or cholecystectomy
排除标准
- •Urgent/emergent status
- •Previous cholecystostomy tube placement
研究组 & 干预措施
Opioid Sparing
Providers required to prescribe 10 narcotic pills only
干预措施: Oxycodone (Drug)
Zero Opioid
No narcotic prescription is provided to patient at discharge
干预措施: Zero Opioid Protocol (Behavioral)
结局指标
主要结局
Morphine Milligram Equivalents Taken by Participants
时间窗: 14 days
Patients will be interviewed fourteen days after procedure and asked how many opioid pills they have taken since being discharged form the hospitals
次要结局
- Satisfaction Scores Ranging From 1 - 10(14 days)