Burns, Knee Injuries, Opioid Use, Pain
Conditions
Keywords
Burns, Knee Arthroscopy, Opioid, Pain, Chronic
Brief summary
The legitimate need for opioid medications for acute pain management in pediatric trauma patients is recognized, however, the high dose and duration of opioid drugs prescribed by medical providers has been associated with an increased risk of opioid abuse and chronic use by patients. The overarching goal of application is to assess opioid use and outcomes of pediatric patients treated for either burn injuries or knee arthroscopy procedures at a large academic pediatric medical center before and after Ohio opioid prescription rules for acute pain were implemented on August 21, 2017. Also, to evaluate patient use of opioids at 90-days post-treatment.
Detailed description
This study has a prospective and retrospective component. Phase 1 involves a retrospective chart review will be performed among pediatric patients undergoing burn care or knee arthroscopy at our institution to determine a whether there was a reduction in prescribed opioid medications following the 2017 Ohio opioid prescription law. A 24-month pre-law period (August 1st, 2015, to August 31st, 2017) and 24-month post-law period (September 1st, 2017, to August 31st 2019) will be compared. This phase will include 300 patients (n=150 burn, n=150 knee arthroscopy) evenly divided between the pre-law and post-law periods. Phase 2 involves a prospective patient telephone survey 90 days after burn care or knee arthroscopy procedure to assess the association of opioid prescribing, consumption and amount of left-over medications, and pain control status after 90 days. This phase will include 100 patients (n=50 burn, n=50 knee arthroscopy) recruited via convenience sampling.
Interventions
BEHAVIORALOpioid Use 90-Days Post Treatment
Survey conducted 90-days post treatment to determine use of opioid medications in relation to burn or knee arthroscopy pain
Sponsors
Ohio Department of Public Safety
Nationwide Children's Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
0 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* pediatric patients age 0-18 years (inclusive) * treated at our institution for either a burn injury or knee arthroscopy procedure * received at least one opioid prescription
Exclusion criteria
* patients age 19 years and above * patients who did not receive any opioid medications * patients undergoing knee arthroscopy with simultaneous anterior cruciate ligament (ACL) reconstruction * families unable to to communicate in English
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in opioid prescriptions | 2 years before and 2 years after Ohio opioid law | Change in opioid medications prescribed pre-law and post-law (reported in morphine equivalent doses) |
| Long-term opioid use | 90 days post treatment | Patients using opioid medications 90-days post treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of opioid medications usage | 2 years before and 2 years after Ohio opioid law | Comparison of opioid medications prescribed by injury type (burn and knee arthroscopy) |
Countries
United States
Outcome results
None listed