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Implementation of a multi-modal pain regimen to decrease inpatient opioid exposure after injury

American Journal of Surgery Oct 05, 2019

Wei S, Green C, Howell J, et al. - Researchers examined the impact of implementing a pill-based, multi-modal pain regimen (MMPR) on inpatient oral morphine milligram equivalents, on opioid prescriptions at discharge, and on Numerical Rating Scale (NRS) pain scores. In this work, the inclusion of adult patients admitted to a level-1 trauma center with ≥ 1 rib fracture from 2010-2017 was done – spanning 3 years before and 4 years after MMPR implementation. As per observations, implementation of MMPR led to a significant decrease in in-patient opioid exposure after injury. Inpatient opioid use reduced from 2010 to 2017; this reduction was equivalent to 11 mg less oxycodone or 17 mg less hydrocodone per patient per day. Additionally, a reduction in NRS pain scores was observed in association with the MMPR introduction.
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