Safety, quality & education

Association of Opioid Disposal Practices with Parental Education and a Home Opioid Disposal Kit Following Pediatric Ambulatory Surgery

Anesth AnalgPublished Quality improvement study

Main finding · Optimal opioid disposalResult — go to the resultOdds ratio 26.5 95% CI 4.0–177.0

Authors' conclusion

A multidisciplinary approach to educating parents on the importance of safe disposal of leftover opioids paired with dispensing a convenient opioid disposal kit was associated with increased odds of optimal opioid disposal.

Study context

Population
Parents of pediatric patients ages 0 to 17 years prescribed an opioid after ambulatory surgeryanalysed sample
Participants
190 vs 161
Comparison
Post-implementation vs pre-implementation
  • Phase IIn = 190
  • Phase In = 161reference
Outcome
Optimal opioid disposal
Methodological detailspre-post, interrupted time series, multidisciplinary quality improvement (QI) initiative, weighted segmented regression, telephone interview
  • Pre-post, interrupted time series
  • Multidisciplinary QI initiative
  • Weighted segmented regression
  • Telephone interview

Main finding

As reported in the abstract

Odds ratio

26.5

95% CI 4.0–177.0

Events by group

Phase II vs Phase I
OR 26.5 (95% CI 4.0–177.0)
Number needed to be exposed to achieve one new optimal disposal event
2.2 (95% CI 1.4-3.7])

Secondary outcomes

OutcomePhase IIPhase IOR (95% CI)
Safe opioid disposal66%34%4.4 (1.1–18.4)
Safe opioid disposal — Number needed to be exposed to achieve one new safe disposal event
3.1 (95% CI 1.6-7.4)
  • Safe opioid disposal: weighted segmented regression; beginning of Phase II vs end of Phase I

Any opioid disposal

Number needed to be exposed to achieve one new disposal event, any disposal
4.3 (95% CI 1.7-13.6)

Original publication

Association of Opioid Disposal Practices with Parental Education and a Home Opioid Disposal Kit Following Pediatric Ambulatory Surgery. Anesth Analg. Published 19 May 2025. doi:10.1213/ane.0000000000007104

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