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Effects of Ohio's opioid prescribing limit for the geriatric minimally injured trauma patient

American Journal of Surgery Nov 15, 2019

Young BT, Zolin SJ, Ferre A, et al. - Given that opioids are prescribed to geriatric patients, age ≥ 65, despite that no need for frequent operation among them and only short observation after injury, researchers here reviewed geriatric opioid prescriptions following a statewide outpatient prescribing limit. Discharge and 30-day pain prescriptions were collected for 218 geriatric patients managed without operation and with stays less than two midnights and comparison of patients pre- and post-limit and with a non-geriatric cohort aged 18–64 was made. Following Ohio's acute opioid prescribing limit, minimally injured geriatric trauma patients were administered fewer discharge opioid prescriptions and lower dosages. Trauma surgeons and emergency medicine physicians seem to have decreased prescribing habits before the limit was imposed. Similar frequencies of opioid prescriptions and dosages were provided to geriatric patients presenting with fall mechanism or having a history of falls vs geriatric patients without either risk factor.
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