Patient-Reported Opioid Pill Consumption After an ED Visit: How Many Pills Are People Using?
| Autor: | Danielle M. McCarthy, Lauren Opsasnick, Howard S. Kim, Patrick M. Lank, Laura M. Curtis, Christine Arroyo, Katherine Piserchia, Michael S. Wolf, D. Mark Courtney, Scott I. Hur |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Adolescent Poison control 01 natural sciences 03 medical and health sciences 0302 clinical medicine Interquartile range Internal medicine Back pain Humans Medicine Patient Reported Outcome Measures 030212 general & internal medicine Renal colic Practice Patterns Physicians' 0101 mathematics Medical prescription Pain Postoperative business.industry 010102 general mathematics General Medicine Emergency department Middle Aged Acute Pain Primary Care & Health Services Section Analgesics Opioid Anesthesiology and Pain Medicine Opioid Pill Female Neurology (clinical) medicine.symptom Emergency Service Hospital business medicine.drug |
| Zdroj: | Pain Med |
| ISSN: | 1526-4637 1526-2375 |
| DOI: | 10.1093/pm/pnaa048 |
| Popis: | Objectives Recent guidelines advise limiting opioid prescriptions for acute pain to a three-day supply; however, scant literature quantifies opioid use patterns after an emergency department (ED) visit. We sought to describe opioid consumption patterns after an ED visit for acute pain. Design Descriptive study with data derived from a larger interventional study promoting safe opioid use after ED discharge. Setting Urban academic emergency department (>88,000 annual visits). Subjects Patients were eligible if age >17 years, not chronically using opioids, and newly prescribed hydrocodone-acetaminophen and were included in the analysis if they returned the completed 10-day medication diary. Methods Patient demographics and opioid consumption are reported. Opioid use is described in daily number of pills and daily morphine milligram equivalents (MME) both for the sample overall and by diagnosis. Results Two hundred sixty patients returned completed medication diaries (45 [17%] back pain, 52 [20%] renal colic, 54 [21%] fracture/dislocation, 40 [15%] musculoskeletal injury [nonfracture], and 69 [27%] “other”). The mean age (SD) was 45 (15) years, and 59% of the sample was female. A median of 12 pills were prescribed. Patients with renal colic used the least opioids (total pills: median [interquartile range {IQR}] = 3 [1–7]; total MME: median [IQR] = 20 [10–50]); patients with back pain used the most (total pills: median [IQR] = 12 [7–16]; total MME: median [IQR] = 65 [47.5–100]); 92.5% of patients had leftover pills. Conclusions In this sample, pill consumption varied by illness category; however, overall, patients were consuming low quantities of pills, and the majority had unused pills 10 days after their ED visit. |
| Databáze: | OpenAIRE |
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