Research finds many heart surgery patients may not need opioid for pain after getting discharged

According to a recent study, many patients who have heart surgery will not need to use opioid pain relievers until they are discharged from the hospital. The study was published in the journal 'The Annals of Thoracic Surgery.'

"In some cases, patients anticipate that following surgery, especially a major operation like cardiac surgery, they would need prescription pain medication to go home," said Catherine M. Wagner, MD, of the University of Michigan in Ann Arbor. "Some patients tolerate being discharged without opioid pain medication following cardiac surgery very well, according to this study. To put it another way, we shouldn't just give folks pain meds after surgery because they might need it "she continued.

Dr. Wagner and colleagues looked at data from 10 centres in the Michigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative for patients who had coronary artery bypass grafting (CABG), heart valve surgery, or a combination of those operations via median sternotomy (a vertical incision in the centre of the chest) in 2019.

28% of patients  did not get an opioid prescription at the time of discharge, according to the study. Patients who were older, spent longer time in the hospital after surgery, or had surgery and were discharged during the last three months of the research period (October-December) were more likely to leave the hospital without an opioid prescription than other patients.

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