Opioid utilization after lower extremity amputation for peripheral vascular disease and discharge prescribing recommendations.
Maraya N CamazineKaitlyn M RountreeJamie B SmithJonathan BathTodd R VogelPublished in: Vascular (2022)
This analysis demonstrates that younger patients, males, patients with BKAs, and those who receive amputations for vascular disease at non-training institutions have higher post-operative opioid utilization during the hospital stay. At the time of discharge, patients utilized an average of 17.6 MME/d which equates to approximately three hydrocodone/acetaminophen 5/325 mg tablets per day. Based on these findings, vascular surgeons are likely over prescribing opioids at discharge and must be cognizant of appropriate dosing quantities. Prescriptions at discharge should reflect the daily utilization described from this analysis and tapered to avoid chronic utilization, overdose, and possible death.
Keyphrases
- end stage renal disease
- chronic pain
- ejection fraction
- primary care
- newly diagnosed
- pain management
- chronic kidney disease
- healthcare
- prognostic factors
- peritoneal dialysis
- emergency department
- patient reported outcomes
- quality improvement
- clinical practice
- liver injury
- chemotherapy induced
- peripheral artery disease