Characteristics associated with transition from opioid initiation to chronic opioid use among opioid-naïve older adults.
Geriatr Nurs
; 40(2): 190-196, 2019.
Article
em En
| MEDLINE
| ID: mdl-30401575
ABSTRACT
Our primary objective was to determine the prevalence and characteristics of opioid-naïve older adults who initiated opioids and transitioned to chronic use. Study populations included older adultsâ¯≥â¯65years with continuous medical and drug plan enrollment one-year prior to opioid initiation (pre-period) through one-year after initiation (post-period). Characteristics were determined using multivariate logistic regression. Among eligible insureds (Nâ¯=â¯180,498), 70% used only the initial opioid prescription; 30% continued to use opioids requiringâ¯≥â¯2 prescriptions withâ¯≥â¯15 days' supply. Overall, 6% transitioned to chronic useâ¯>â¯90days. Characteristics associated with chronic use included (1) Low income, older, females, in poor health, with new/chronic back pain; (2) opioid initiation with long-acting opioids or tramadol; (3) prescriptions for other pain, sleep or antipsychotic medications; and (4) indications of pre and/or post mental health issues. Careful screening, monitoring and/or alternative non-opioid pain management strategies may be warranted for those at risk for chronic opioid use.
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1
Base de dados:
MEDLINE
Assunto principal:
Padrões de Prática Médica
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Dor Crônica
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Analgésicos Opioides
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article