Patient health literacy and the receipt of opioids in the emergency department
Autor: | Montika Bush, Joseph A. Dayaa, Timothy F. Platts-Mills, Natalie L. Richmond, Lewis S. Nelson |
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Rok vydání: | 2019 |
Předmět: |
Male
medicine.medical_specialty Cross-sectional study Health literacy medicine Humans Pain Management Pharmacology (medical) Prospective Studies Prospective cohort study Aged Receipt Geriatrics business.industry General Medicine Emergency department Middle Aged Opioid-Related Disorders Confidence interval Health Literacy Analgesics Opioid Cross-Sectional Studies Anesthesiology and Pain Medicine Opioid Emergency medicine Female Emergency Service Hospital business medicine.drug |
Zdroj: | Journal of Opioid Management. 15:267-270 |
ISSN: | 1551-7489 |
Popis: | Objective: Assess relationships between patient health literacy and formal education and use of opioids during and following an emergency department (ED) visit. Design: Prospective, cross-sectional study. Setting: Academic ED. Participants: Adults aged ≥ 60 years presenting to the ED with musculoskeletal pain. Main outcome measures: Opioid use during and after an ED visit. Results: In a sample of 136 patients, patients with low health literacy were more likely to receive an opioid in the ED than patients with high health literacy (70 percent vs 52 percent; 18 percent difference, 95% confidence interval [CI]: –1 percent, 35 percent), receive an opioid prescription (63 percent vs 44 percent; 19 percent difference, 95% CI: 1 percent, 37 percent), and take opioids during the week following the ED visit (48 percent vs 29 percent; 18 percent difference, 95% CI: 0 percent, 36 percent). Conclusions: A greater proportion of older adults receiving ED care for musculoskeletal pain with low health literacy receive and use opioids during and following an ED visit. |
Databáze: | OpenAIRE |
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