Implementation of the Florida law House Bill 21 (HB 21) limiting opioids prescribed after surgery was associated with a lower total dose and shorter duration of opioid prescriptions after hospital discharge following cesarean delivery without the need for additional opioids or emergency department visits in the early puerperium period.
The effects of this law on opioid prescriptions for cesarean delivery patients are interesting when contrasted with the effects in general surgery patients. The proportion of patients receiving opioids on discharge remained the same after passage of the law in cesarean delivery patients (but not in general surgery patients). There was however lower total doses of opioids prescribed and shorter duration of prescriptions. The methodology used in this study (segmented regression analysis of an interrupted time series) is a powerful technique to analyze the impact of public health interventions, controlling for pre-existing trends.Dr Paul Potnuru, MD
Anesth Analg 2020 Jun 25. Epub 2020 Jun 25.
Department of Anesthesiology and Perioperative Medicine, University of Miami, Miller School of Medicine, Jackson Memorial Hospital, Miami, Florida.
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