Postpartum Opioid Prescription Rates Vary Widely by Hospital


2019-12-05 11:16:34 Drugs


Postpartum opioid prescription rates vary widely among hospitals, according to a study published in the November issue of the American Journal of Obstetrics & Gynecology Maternal-Fetal Medicine. Karissa B. Sanchez Traun, M.D., from Gundersen Health System in La Crosse, Wisconsin, and colleagues used electronic medical records to identify 4,248 patients who delivered at six U.S. hospitals from January 2016 through March 2016. Postpartum opioid prescriptions at the time of hospital discharge were evaluated. The researchers found that the percentage of women prescribed postpartum opioids varied significantly by hospital, ranging from 27.6 to 70.9 percent. The most commonly prescribed medication was oxycodone-acetaminophen (50.3 percent), but each hospital had its preferred opioid type. The median number of tablets prescribed ranged from 20 to 40. Compared with multiparous women, primiparous women were more likely to receive opioids (parity of one: 52.8 percent; two: 48 percent; three: 47.6 percent; four: 40.1 percent; five or more: 45.8 percent). Among women who had vaginal deliveries, opioid prescription rates were higher for those who experienced either a second-degree laceration (35.5 percent) or a third- or fourth-degree laceration (59.3 percent). "The variation in prescribing found in our study illustrates the need for clear consensus guidelines for postpartum pain management," the authors write. Abstract/Full Text (subscription or payment may be required) © 2019 HealthDay. All rights reserved. Posted: December 2019
根据《美国妇产科妇产医学杂志》( American Journal of Obstetrics & Gynecology Maternal-Fetal Medicine )11月号上发表的一项研究,各医院的产后阿片类药物处方药率差别很大。 来自威斯康辛州拉克罗斯 Gundersen 健康系统的 Karissa B . Sanchez Traun 医学博士及其同事利用电子病历识别2016年1月至2016年3月在美国6家医院就诊的4248名患者。评估出院时的产后阿片类药物处方。 研究人员发现,在各医院中,规定使用产后阿片类药物的女性比例差异很大,从27.6%到70.9%不等。最常见的处方药是羟考酮-乙酰氨基酚(50.3%),但每家医院都有其首选的阿片类药物。处方药片的中位数从20到40不等。与多配偶女性相比,初产妇更容易接受阿片类药物(1:52.8%;2:48%;3:47.6%;4:40.1%;5或更多:45.8%)。在接受阴道分娩的妇女中,接受二次妊娠(35.5%)或三次或四次妊娠(59.3%)的妇女的阿片类药物处方药率较高。 作者写道:“我们研究中发现的处方上的差异说明了明确一致的产后疼痛管理指南的必要性。” 文摘/全文(可能需要订阅或付费) ©2019 HealthDay 。保留所有权利。 张贴日期:2019年12月