Effects of Ohio's opioid prescribing limit for the geriatric minimally injured trauma patient

Evaluation of Interventions to Reduce Opioid Prescribing for Patients Discharged From the Emergency Department

“…Of these, 180 were kept for full-text review, and 63 unique studies were included in the review ( Figure 1 ). 12 , 27 , 28 , 29 , 30 , 31 , 32 , 35 , 36 , 37 , 39 , 40 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 86 , 87 , 88 , 89 , 90 , 91 , 92 , 93 , 94 , 95 , 96 , 97 , 98 , 99 , 100 , …”

“… 69 , 94 , 102 All studies were published within the last 10 years (2013 to 2021). Studies used mainly preintervention-postintervention (n = 39) 12 , 28 , 30 , 31 , 32 , 35 , 39 , 40 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 92 , 93 , 94 , 99 , 100 , 101 , 102 and ITS (n = 21) 27 , 29 , 36 , 37 , 54 , 55 , 56 , 57 , 71 , 72 , 73 , 74 , 87 , 88 , 89 , 90 , 91 , ...…”

“…Ten of 21 ITS studies 27 , 36 , 54 , 55 , 56 , 57 , 88 , 89 , 90 , 91 demonstrated an overall moderate risk of bias (ROBINS-I); all other ITS and preintervention-postintervention studies 12 , 28 , 29 , 30 , 31 , 32 , 35 , 37 , 39 , 40 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 87 , 92 , 93 , 94 , 95 , 96 , 97 , 98 , 99 , 100 , 101 , ...…”

“…Of 51 studies assessing prescribing rates, 46 (90%) reported a reduction after intervention implementation (34 were statistically significant). 12 , 27 , 28 , 29 , 31 , 32 , 54 , 55 , 56 , 57 , 58 , 59 , 62 , 63 , 64 , 65 , 66 , 67 , 69 , 76 , 77 , 78 , 79 , 80 , 82 , 84 , 85 , 86 , 88 , 90 , 94 , 100 , 101 Of 39 studies assessing prescribed opioid quantity, 32 (82%) reported an intervention-related reduction (17 were statistically significant). 35 , 36 , 39 , 40 , 55 , 65 , 68 , 70 , 82 , 83 , 84 , 85 , 86 , 95 , 98 , 100 , 101 …”

“…Patients’ satisfaction level with their opioid prescriptions was presented in 4 studies: 1 had a very low survey response rate (1.9%), 57 2 reported no impact, 87 , 89 and 1 found a slight gain (from 52% to 61%). 88 One study 82 reported on patients’ need for additional opioid prescriptions after the intervention and found no change for this outcome.…”