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Tag: Opioids

Prepregnancy surgery is associated with elevated neonatal abstinence syndrome risk in future pregnancies

Prepregnancy Surgery Linked to Risk for Neonatal Abstinence Syndrome

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Prescription opioids for postsurgical pain may lead to addiction that affects future pregnancies
For patients undergoing anterior cruciate ligament reconstruction

Prescribing Fewer Tablets Can Cut Post-ACL Surgery Opioid Use

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Prescribing fewer tablets with education session further reduces opioid use
Prenatal opioid exposure is negatively associated with neurocognitive and physical development in offspring from the age of 6 months into school age

Prenatal Opioid Exposure Harms Long-Term Child Development

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Negative effects on cognitive, motor outcomes seen from age 6 months persist to school age
Overall

About 12 Percent With Ankle Sprain Fill Opioid Prescriptions

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Among opioid-naive patients, 8.4 percent of those who filled an initial opioid Rx had persistent use
The vast majority of orthopedic surgeons recommend prescribing a nine-day supply of around-the-clock oxycodone doses following commonly performed orthopedic surgeries

Survey Reveals Gaps in Opioid Rx Patterns of Orthopedic Surgeons

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History of drug misuse, depression did not necessarily diminish hypothetical prescribing rates
In utero exposure to opioids is associated with higher risks for short- and long-term adverse outcomes

In Utero Opioid Exposure Tied to Poor Outcomes Throughout Childhood

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Adverse outcomes seen at birth and in preschool and school-aged children
Patients undergoing partial knee replacement have a reduced risk for venous thromboembolism and opioid use in months 3 to 12 after surgery

VTE Risk Reduced With Partial Knee Replacement

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But risk for five-year revision higher for those undergoing partial versus total knee replacement
Specific patterns of opioid administration to opioid-naive inpatients are associated with risk for long-term use after discharge

Patterns of Inpatient Opioid Use Linked to Long-Term Use

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Outpatient use at 90 days was seen for 5.9 and 3.0 percent of patients with and without inpatient use
Following implementation of an opioid-sparing pain management strategy

Opioid-Sparing Strategy Still Provides Good Pain Control

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Patients surveyed following surgery and only a small 'rescue' opioid Rx postop
The rates of prolonged opioid prescribing remain high for older cancer survivors five or more years after cancer diagnosis

Long-Term Opioid Prescribing Up Among Older Cancer Survivors

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Cancer survivors diagnosed 2004 to 2008 have higher rates of opioid prescribing versus those diagnosed earlier