Table 3

PICO 1.2 impact of NSAIDs on morphine equivalents

AuthorOutcome definitionGroupsNMale, n (%)Age, y, mean (SD)OME/MMEStudy conclusions
Weisz16OME at 48 hoursIbuprofen
Placebo
54
44
38 (72)
34 (77)
42 (16)
41 (16)
23 (18)
27 (16)
Ibuprofen significantly reduces opioids after traumatic fractures
McDonald14OME at 7 daysKetorolac
No ketorolac
64
64
23 (36%)
30 (57%)
48 (15)
46 (17)
105 (89)
145 (104)
Decreased use of opioid medications
Xu7OME at 48 hoursKetorolac
No ketrolac
31
32
16(51)
17 (53)
50 (11)
49 (12)
130 (48 hours)
194 (48 hours)
Significantly less opioid use in ketorolac group
Bayouth9OME at 7 daysIbuprofen
No Ibuprofen
21
21
13 (62)
17 (81)
52 (14)
53 (16)
83 (54)
170 (115)
Significantly less opioid use in ibuprofen group
Haines5OME during hospital dayNSAID
No NSAID
21 367
168 690
NR
NR
83
84
12 (13)
11 (13)
Significantly less opioid use in the NSAID group