| Title |
Opioid Prescribing at Hospital Discharge Contributes to Chronic Opioid Use
|
|---|---|
| Published in |
Journal of General Internal Medicine, November 2015
|
| DOI | 10.1007/s11606-015-3539-4 |
| Pubmed ID | |
| Authors |
Susan L. Calcaterra, Traci E. Yamashita, Sung-Joon Min, Angela Keniston, Joseph W. Frank, Ingrid A. Binswanger |
| Abstract |
Chronic opioid therapy for chronic pain treatment has increased. Hospital physicians, including hospitalists and medical/surgical resident physicians, care for many hospitalized patients, yet little is known about opioid prescribing at hospital discharge and future chronic opioid use. We aimed to characterize opioid prescribing at hospital discharge among 'opioid naïve' patients. Opioid naïve patients had not filled an opioid prescription at an affiliated pharmacy 1 year preceding their hospital discharge. We also set out to quantify the risk of chronic opioid use and opioid refills 1 year post discharge among opioid naïve patients with and without opioid receipt at discharge. This was a retrospective cohort study. From 1 January 2011 to 31 December 2011, 6,689 opioid naïve patients were discharged from a safety-net hospital. Chronic opioid use 1 year post discharge. Twenty-five percent of opioid naïve patients (n = 1,688) had opioid receipt within 72 hours of discharge. Patients with opioid receipt were more likely to have diagnoses including neoplasm (6.3 % versus 3.5 %, p < 0.001), acute pain (2.7 % versus 1.0 %, p < 0.001), chronic pain at admission (12.1 % versus 3.3 %, p < 0.001) or surgery during their hospitalization (65.1 % versus 18.4 %, p < 0.001) compared to patients without opioid receipt. Patients with opioid receipt were less likely to have alcohol use disorders (15.7 % versus 20.7 %, p < 0.001) and mental health disorders (23.9 % versus 31.4 %, p < 0.001) compared to patients without opioid receipt. Chronic opioid use 1 year post discharge was more common among patients with opioid receipt (4.1 % versus 1.3 %, p < 0.0001) compared to patients without opioid receipt. Opioid receipt was associated with increased odds of chronic opioid use (AOR = 4.90, 95 % CI 3.22-7.45) and greater subsequent opioid refills (AOR = 2.67, 95 % CI 2.29-3.13) 1 year post discharge compared to no opioid receipt. Opioid receipt at hospital discharge among opioid naïve patients increased future chronic opioid use. Physicians should inform patients of this risk prior to prescribing opioids at discharge. |
X Demographics
The data shown below were collected from the profiles of 9 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 7 | 78% |
| Unknown | 2 | 22% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 6 | 67% |
| Science communicators (journalists, bloggers, editors) | 2 | 22% |
| Scientists | 1 | 11% |
Mendeley readers
The data shown below were compiled from readership statistics for 230 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Sri Lanka | 1 | <1% |
| Unknown | 229 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Other | 35 | 15% |
| Student > Master | 28 | 12% |
| Student > Doctoral Student | 27 | 12% |
| Researcher | 22 | 10% |
| Student > Bachelor | 16 | 7% |
| Other | 46 | 20% |
| Unknown | 56 | 24% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 102 | 44% |
| Nursing and Health Professions | 19 | 8% |
| Social Sciences | 11 | 5% |
| Pharmacology, Toxicology and Pharmaceutical Science | 11 | 5% |
| Biochemistry, Genetics and Molecular Biology | 7 | 3% |
| Other | 20 | 9% |
| Unknown | 60 | 26% |
Attention Score in Context
This research output has an Altmetric Attention Score of 72. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 25 October 2022.
All research outputs
#572,122
of 24,717,821 outputs
Outputs from Journal of General Internal Medicine
#459
of 8,000 outputs
Outputs of similar age
#8,672
of 290,700 outputs
Outputs of similar age from Journal of General Internal Medicine
#4
of 44 outputs
Altmetric has tracked 24,717,821 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 97th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 8,000 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 22.2. This one has done particularly well, scoring higher than 94% of its peers.
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We're also able to compare this research output to 44 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 93% of its contemporaries.