Highlights
- •Removing the in-room displayed pain medication schedule in hospitalized trauma patients did not decrease opioid use.
- •Those without a displayed pain medication schedule used slightly more opioids despite using more non-narcotic modalities.
- •A displayed pain medication schedule for hospitalized trauma patients could represent an opportunityto decrease opioid use.
Abstract
Introduction
The impact of a visual pain medication schedule on opioid use among hospitalized trauma
patients is unknown. We examined whether removal of this displayed schedule would
decrease oral morphine equivalent (OME) use.
Methods
This retrospective cohort study compared OME use in trauma patients in the inpatient
setting before and after removing the patient-facing pain medication schedule that
is typically displayed on the patient's white board for all trauma admissions.
Results
707 patients were included. The control (n = 308, 43.6%) and intervention (n = 399,
56.4%) groups were similar in age (p = 0.06). There was no difference in total inpatient
OME use between the control and intervention groups, median 50 (IQR: 22.5–118) vs
60 (IQR: 22.5–126), p = 0.79, respectively. No difference in total OME use was observed
when patients were stratified by age, sex, race, ISS, and length of hospital stay.
Conclusion
Removing a visual display of the pain medication schedule did not decrease OME use
in inpatient trauma patients.
Keywords
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Article info
Publication history
Published online: January 06, 2023
Accepted:
January 6,
2023
Received in revised form:
November 30,
2022
Received:
August 25,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Elsevier Inc. All rights reserved.
