Association of caregiver-reported education with locked storage and disposal of prescription opioids after children's surgery.

Abstract:

PURPOSE:This study aimed to assess whether caregiver-reported storage and disposal education were associated with locked opioid storage and disposal of leftover opioids after children's surgery. METHODS:Caregivers of children <18 years who were prescribed an opioid were surveyed 7-21 days after surgery at an academic children's hospital (4/1/2018-3/31/2019) on opioid-related education and management practices (54% response rate). Multivariable logistic regression models were estimated for locked storage and disposal of leftover opioids as functions of storage and disposal education, adjusting for demographics, procedure, prescription characteristics, and postoperative day at time of survey. MAIN FINDINGS:Among 606 respondents, storage education was reported by 366 (60.4%) and locked storage by 111 caregivers (18.3%). Caregivers who reported verbal storage education (aOR 3.01 (95% CI 1.52-5.94); p = 0.001) or both written and verbal storage education (aOR 2.18 (95% CI 1.30-3.68); p = 0.003) were more likely to lock opioids in storage. Among 451 caregivers with leftover opioids, disposal education was reported by 226 (50.1%) and disposal by 111 caregivers (24.6%). There was no association between verbal and/or written disposal education with disposal. CONCLUSION:Caregivers infrequently reported education, locked storage, and disposal of leftover opioids after children's surgery. Education may improve locked opioid storage, but additional strategies are needed to increase disposal. TYPE OF STUDY:Treatment. LEVEL OF EVIDENCE:Level III.

journal_name

J Pediatr Surg

authors

Sloss KR,Vargas G,Brummett CM,Englesbe MJ,Waljee JF,Gadepalli S,Harbaugh C

doi

10.1016/j.jpedsurg.2020.04.022

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

2442-2447

issue

11

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(20)30314-6

journal_volume

55

pub_type

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