Table 2. Perioperative Pain Characteristics, Pain Assessment, and Opioid Consumption.
Characteristic | Control (n = 54) | POINT (n = 48) | P value |
---|---|---|---|
Perioperative pain characteristics and treatment | |||
Perioperative pain treatment | |||
Acetaminophen administered, No. (%) | 44 (81.5) | 42 (87.5) | .43 |
Acetaminophen total dosage, median (IQR), mg | 1000 (1000-1319) | 1000 (1000-1650) | .20 |
Total OMEs, median (IQR) | 54.8 (30.0-88.3) | 52.5 (37.9-77.8) | .61 |
Inpatient postoperative pain scores, median (IQR) | |||
4-h Postoperative pain score | 0 (0-3) | 2 (0-4) | .11 |
Highest postoperative pain score | 6 (4-7) | 6 (3-7) | .23 |
Last recorded pain score before discharge | 0 (0-3) | 1.5 (0-4) | .17 |
Patient self-reported pain assessment and opioid consumption | |||
Patients with ≥5 surveys completed, No. (%) | 52 (96.3) | 47 (97.9) | |
Opioid consumption | |||
Tablets dispensed for the group, No. | 550 | 230 | <.001 |
Tablets dispensed per person, mean (SD) | 10.1 (0.7) | 4.8 (5.1) | |
Patients who took opioids, No. (%) | 27 (51.9) | 17 (36.2) | .16 |
Tablets consumed for the group, No. (% of dispensed tablets) | 135.5 (24.6) | 66 (28.7) | |
Tablets consumed per person, mean (SD) | 2.6 (3.8) | 1.4 (2.5) | .07 |
Total OMEs consumed over the week, median (IQR) | 5 (0-20) | 0 (0-10) | .09 |
Total OMEs consumed over the week for those taking opioids, median (IQR) | 20 (10-34) | 15 (10-30) | .49 |
OTC use, No. (%) | |||
Acetaminophen | 38 (73.1) | 39 (83.0) | .33 |
Ibuprofen | 11 (21.2) | 18 (38.3) | .08 |
Naproxen | 4 (7.7) | 3 (6.4) | >.99 |
Postoperative pain scores, median (IQR) | |||
Maximum reported pain score | 6 (4-8) | 6 (5-7) | .71 |
Daily peak pain score averaged across the week | 3 (2-4) | 3 (2-4) | .85 |
No. of patients with alert triggered for pain score ≥8, No. (%) | 17 (31.5) | 11 (22.9) | .27 |
Total number of physician-initiated telephone calls for the group triggered by survey alert, No. | 28 | 14 | |
No. of physician-initiated telephone calls per person, mean (SD) | 0.5 (0.9) | 0.3 (0.6) | .13 |
Refill requests, No. | 1 | 0 | NA |
Abbreviations: IQR, interquartile range; NA, not applicable; OME, oral morphine equivalents; POINT, postoperative opt-in narcotic treatment.