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Toxicology screening in orthopedic trauma patients predicting duration of prescription opioid use
(Contrôle toxicologique chez des patients ayant subi un traumatisme orthopédique : indications pour la durée de la prescription d'opiacés.)
Auteur(s) :
MASSEY, G. M. ;
DODDS, H. N. ;
ROBERTS, C. S. ;
SERVOSS T. J. ;
BLONDELL, R. D.
Année
2005
Page(s) :
31-41
Langue(s) :
Anglais
Refs biblio. :
18
Domaine :
Drogues illicites / Illicit drugs
Discipline :
PRO (Produits, mode d'action, méthode de dépistage / Substances, action mode, screening methods)
Thésaurus mots-clés
OPIACES
;
TRAUMATISME
;
PIED
;
PRESCRIPTION MEDICALE
;
DEPENDANCE
;
DEPISTAGE
;
SUIVI DU PATIENT
Note générale :
Journal of Addictive Diseases, 2005, 24, (4), 31-41
Note de contenu :
fig. ; tabl.
Résumé :
ENGLISH :
Following hospitalization for orthopedic trauma, some patients continue to use opioids following fracture healing. This retrospective cohort study of 50 patients with high-energy fractures was conducted to determine if toxicology screening tests upon admission can predict subsequent opioid use. Data were collected from clinical records and a statewide electronic database of prescription records. Six months following hospital discharge, those with positive toxicology used more opioids (730 mg vs. 364 mg; P = .04) expressed as morphine equivalents than those with negative toxicology and were more likely to continue using opiates at the end of the 3rd, 4th, 5th, and 6th month after discharge. Patients hospitalized for high-energy fractures with positive admission toxicology are at risk for prolonged opiate use during the initial six months following discharge. (Author' s abstract)
Affiliation :
Dept of Family Medicine, Univ. Buffalo, 462 Grider Street, CC-175, Buffalo, NY 14215-3021. E-mail: blondellbuffalo.edu
Etats-Unis. United States.
Etats-Unis. United States.