Is Opioid Prescribing Driving Trauma Recidivism or Is Trauma Driving Opioid Use?
| Autor: | Laura, Harmon, Leah, Sukri, Joseph A, Kufera, Andrew, Nguyen, MeiLin, Grunnagle, Christine L, Ramirez, Isadora, Botwinick, Daniel, Cucher, Cristina B, Feather, Thomas M, Scalea, Deborah M, Stein |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Adolescent Databases Factual Risk Assessment Statistics Nonparametric Cohort Studies Young Adult Age Distribution Injury Severity Score Trauma Centers Predictive Value of Tests Confidence Intervals Humans Sex Distribution Aged Retrospective Studies Multiple Trauma Incidence Middle Aged Opioid-Related Disorders Drug Utilization United States Analgesics Opioid Survival Rate Wounds and Injuries Female Blood Chemical Analysis Needs Assessment |
| Zdroj: | The American surgeon. 85(6) |
| ISSN: | 1555-9823 |
| Popis: | In the past 30 years, opioid prescription rates have quadrupled and hospital admissions for overdose are rising. Previous studies have focused on alcohol use and trauma recidivism, however rarely evaluating recidivism and opioid use. We hypothesized there is an association between opioid use and trauma recidivism. This is a retrospective review of patients with multiple admissions for traumatic injury. Demographics, opioid toxicology screen (TS) results, and injury characteristics were collected. Statistical analysis was performed with chi-squared and Poisson regression models. One thousand six hundred forty-nine patients (age ≥18 years) had multiple trauma admissions. Seven hundred nine patients had TS data for both admissions. Thirty-one per cent (218) were TS positive on the 1st admission compared with 34 per cent (244) on their 2nd admission. Fifty-five per cent of patients who were TS positive on the 1st admission were positive on their 2nd admission, whereas 25 per cent who were TS negative on the 1st admission were subsequently positive on their 2nd admission ( |
| Databáze: | OpenAIRE |
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