At a glance
ClinicalIndex Comparison Record- ✓Women age ≥18 years undergoing Cesarean section at University of Colorado Hospital
- ✓Anticipated to need half or less of usually prescribed opioids, defined as ≤22.5 MME in the 24 hours prior to discharge prescription
- ✓Willing to complete weekly surveys for 4 weeks after discharge
- ✕Patients under age 18
- ✕Returning to institutional settings such as prison, jail, or mental health facility
- ✕Decisionally challenged patients
- ✕Blind or illiterate patients
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
24-hour Oral Morphine Equivalent Based Opioid Prescribing After Surgery
In Brief
A clinical study evaluating Arm 1 Prescription As Usual and Arm 2 Prescription Tool Intervention for Opioid Use. Completed, enrolled 57 participants across 1 site.
Detailed Summary
The investigators will utilize the electronic health record to individualize pain therapy in surgical patients after hospital discharge using last 24-hour opioid intake as the decision variable for the amount of opioid pain pills prescribed. The preliminary data indicate that current opioid prescription practice after surgery follows a "one size fits all" pattern. In-hospital opioid use 24 hours prior to discharge serves as a strong indicator to correctly estimate needs for analgesic medications at home. The investigators will test the hypothesis that this prescription estimation tool will enable providers to write need-based prescriptions based on each patient's' 24-hour prior-to-discharge opioid use. The investigators will test this tool prospectively for patients after Cesarean section who are anticipated to use about half or less of the usually prescribed amount of opioid pain pills after discharge randomized equally to prescription tool intervention or no intervention (prescription as usual).
Study Details
Timeline
Interventions
At the time of writing the discharge prescription for a patient the provider will receive a best practice alert (BPA) to consider prescribing the usual medications for pain management after discharge.
The best practice alert (BPA) Prescription Tool will only make a suggestion to the provider if the patient may be considered for a lower post-discharge opioid dose. Providers may still choose to prescribe a higher dose as clinically indicated.