PFD Week 2018-General Session V

Video Transcription

Video Summary

The study aimed to evaluate post-discharge narcotic use following pelvic reconstructive surgery and identify predictive factors for patient opioid consumption. The study analyzed data from a previously published randomized controlled trial that compared standard post-operative pain management to a multimodal pain pathway. Factors such as patient demographics, clinical and surgical factors, in-hospital narcotic use, and pain levels were evaluated. The study found that 34.8% of patients did not use any narcotics post-discharge, and the median morphine milligram equivalent (MME) was 127.5. Patients who used more narcotics in the hospital tended to use more after discharge. Age and menopausal status greater than one year were predictive of increased post-discharge narcotic use, while other factors such as route of surgery were not predictive. The study suggests that post-discharge opioid consumption is lower than the amount of medication typically prescribed, and that in-hospital narcotic use and pain scores can help predict post-discharge narcotic use. The findings highlight the need for individualized pain regimens and the importance of evaluating patient factors when prescribing opioids after surgery.

Asset Subtitle

Tessa Krantz, MD, L L Barnes, MD, Lindsay C. Turner, MD, Charelle M. Carter-Brooks, MD, MSc, Kristen Buono, MD, & Aparna S. Ramaseshan, MD

Meta Tag

Category Education

Category Urinary Incontinence

Keywords

post-discharge narcotic use

pelvic reconstructive surgery

predictive factors

patient opioid consumption

randomized controlled trial

multimodal pain pathway

in-hospital narcotic use

pain levels

morphine milligram equivalent