Australia; NSW
After surgery for a broken leg or hip, discharging people from hospital with paracetamol and codeine was no worse for managing their pain than giving them strong opioids such as oxycodone, according to an Australian study. The study looked at 120 patients with one or more acute orthopaedic fractures, and found that those discharged from hospital with strong opioids had an average pain score of 4.04 out of 10, while those discharged with panadol and codeine had a score of 4.54 out of 10. The difference was neither statistically nor clinically significant despite a 6-fold higher dose of opioid being delivered in the strong opioid group. The authors say these findings don't support people continuing to be discharged with strong opioids.
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