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Trends in emergency physician opioid prescribing practices during the United States opioid crisis.
Gleber, Ryan; Vilke, Gary M; Castillo, Edward M; Brennan, Jesse; Oyama, Leslie; Coyne, Christopher J.
Afiliação
  • Gleber R; University of California, San Diego Medical Center, Department of Emergency Medicine San Diego, California 200 West Arbor Drive, Mailcode 8676, San Diego, CA 92103, United States of America.
  • Vilke GM; University of California, San Diego Medical Center, Department of Emergency Medicine San Diego, California 200 West Arbor Drive, Mailcode 8676, San Diego, CA 92103, United States of America.
  • Castillo EM; University of California, San Diego Medical Center, Department of Emergency Medicine San Diego, California 200 West Arbor Drive, Mailcode 8676, San Diego, CA 92103, United States of America.
  • Brennan J; University of California, San Diego Medical Center, Department of Emergency Medicine San Diego, California 200 West Arbor Drive, Mailcode 8676, San Diego, CA 92103, United States of America.
  • Oyama L; University of California, San Diego Medical Center, Department of Emergency Medicine San Diego, California 200 West Arbor Drive, Mailcode 8676, San Diego, CA 92103, United States of America.
  • Coyne CJ; University of California, San Diego Medical Center, Department of Emergency Medicine San Diego, California 200 West Arbor Drive, Mailcode 8676, San Diego, CA 92103, United States of America. Electronic address: cjcoyne@ucsd.edu.
Am J Emerg Med ; 38(4): 735-740, 2020 04.
Article em En | MEDLINE | ID: mdl-31227419
BACKGROUND: Prescription opioid related deaths have increased dramatically over the past 17 years. Although emergency physicians (EPs) have not been the primary force behind this rise, previous literature have suggested that EPs could improve their opioid prescribing practices. We designed this study to evaluate the trend in emergency department (ED) opioid prescriptions over time during the US opioid epidemic. METHODS: We conducted a retrospective cohort study from July 1, 2012 to June 30, 2018, evaluating all adult patients who presented to two study EDs for a pain-related complaint and received an analgesic prescription upon ED discharge. We compared these data to trends in lay media and medical literature regarding the opioid epidemic. We also evaluated the incidence of repeat ED visits based on the type of analgesic prescriptions provided. RESULTS: Opioid prescriptions decreased from 37.76% to 13.29% over the six year study period. This coupled with an increase in non-opioid medications from 6.12% to 11.33% and an increase in "no prescription" from 56.12% to 75.37%. This corresponded with an increase in the number of publications on the opioid epidemic within the lay-public and medical literature. Additionally, those patients that received no opiates were less likely to require a repeat ED visit. CONCLUSIONS: ED physicians are prescribing less opiates, while increasing the amount of non-narcotic analgesic prescriptions. This may be in response to the literature suggesting that prescription opioids play a large role in the opioids crisis. This decrease in opioid prescriptions did not increase the need for repeat ED visits.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Prescrições de Medicamentos / Medicina de Emergência / Epidemia de Opioides / Analgésicos Opioides Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged País como assunto: America do norte Idioma: En Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Prescrições de Medicamentos / Medicina de Emergência / Epidemia de Opioides / Analgésicos Opioides Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged País como assunto: America do norte Idioma: En Ano de publicação: 2020 Tipo de documento: Article