Opioid Utilization and Perception of Pain Control in Hospitalized Patients: A Cross-Sectional Study of 11 Sites in 8 Countries

Autor: Marisha Burden, Angela Kingston, Mary Anderson Wallace, Jason W Busse, Jordi Casademont, Smitha R Chadaga, Sumitra Chandrasekaran, Marco Cicardi, John M Cunningham, David Filella, Daniel Hoody, David Hilden, Ming-Ju Hsieh, Yoon-Seon Lee, Daniel D Melley, Anna Munoa, Francesca Perego, Chin-Chung Shu, Chang Hwan Sohn, Jeffrey Spence, Lindsay Thurman, Cindy R Towns, John You, Luca Zocchi, Richard K Albert
Rok vydání: 2019
Předmět:
Zdroj: J Hosp Med
Journal of Hospital Medicine
r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
instname
ISSN: 1553-5606
1553-5592
DOI: 10.12788/jhm.3256
Popis: BACKGROUND: Hospitalized patients are frequently treated with opioids for pain control, and receipt of opioids at hospital discharge may increase the risk of future chronic opioid use. OBJECTIVE: To compare inpatient analgesic prescribing patterns and patients' perception of pain control in the United States and non-US hospitals. DESIGN: Cross-sectional observational study. SETTING: Four hospitals in the US and seven in seven other countries. PARTICIPANTS: Medical inpatients reporting pain. MEASUREMENTS: Opioid analgesics dispensed during the first 24-36 hours of hospitalization and at discharge; assessments and beliefs about pain. RESULTS: We acquired completed surveys for 981 patients, 503 of 719 patients in the US and 478 of 590 patients in other countries. After adjusting for confounding factors, we found that more US patients were given opioids during their hospitalization compared with patients in other countries, regardless of whether they did or did not report taking opioids prior to admission (92% vs 70% and 71% vs 41%, respectively; P
Databáze: OpenAIRE