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Pilot survey of prescription opioid use patterns and engagement with harm-reduction strategies in emergency department patients

BACKGROUND: The United States is experiencing an opioid epidemic. The aim of this pilot study was to describe patterns of prescription opioid medication (POM) use, examine factors associated with opioid misuse and overdose, and assess knowledge of take-home naloxone, and other harm-reduction strateg...

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Autores principales: Fox, Lindsay M., Shastry, Siri, Harper-Brooks, Avis, Ramdin, Christine, Manini, Alex F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9031431/
https://www.ncbi.nlm.nih.gov/pubmed/35480608
http://dx.doi.org/10.1016/j.rcsop.2021.100062
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author Fox, Lindsay M.
Shastry, Siri
Harper-Brooks, Avis
Ramdin, Christine
Manini, Alex F.
author_facet Fox, Lindsay M.
Shastry, Siri
Harper-Brooks, Avis
Ramdin, Christine
Manini, Alex F.
author_sort Fox, Lindsay M.
collection PubMed
description BACKGROUND: The United States is experiencing an opioid epidemic. The aim of this pilot study was to describe patterns of prescription opioid medication (POM) use, examine factors associated with opioid misuse and overdose, and assess knowledge of take-home naloxone, and other harm-reduction strategies as well as participation in medications for opioid use disorder (MOUD) among emergency department (ED) patients that have been prescribed opioid medications. METHODS: This was a pilot survey of a convenience sample of adult ED patients with a past opioid prescription at one urban tertiary care hospital. The survey asked participants about patterns of opioid consumption, risk factors associated with opioid misuse, and knowledge of harm-reduction strategies. The survey tool consisted of mixed open- and closed-ended questions. Reported daily POM consumption was converted to milligram morphine equivalents (MME). Responses to survey questions were compared with daily MME in order to generate hypotheses for future research. RESULTS: 50 individuals completed a survey. Of these, 56% reported taking opioids daily, and 24% reported greater than 100 MME daily opioid consumption. Many subjects reported history of psychiatric illness (34%) and previous substance abuse treatment (24%). The majority of patients (66%) were not aware of take-home naloxone programs to treat opioid overdose. CONCLUSIONS: In this pilot survey of ED patients with a pain-related chief complaint, many respondents reported risk factors for opioid misuse, and the majority of participants were unaware of the existence of important harm-reduction strategies, such as take-home naloxone programs, even among those with the highest daily POM use.
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spelling pubmed-90314312022-04-26 Pilot survey of prescription opioid use patterns and engagement with harm-reduction strategies in emergency department patients Fox, Lindsay M. Shastry, Siri Harper-Brooks, Avis Ramdin, Christine Manini, Alex F. Explor Res Clin Soc Pharm Article BACKGROUND: The United States is experiencing an opioid epidemic. The aim of this pilot study was to describe patterns of prescription opioid medication (POM) use, examine factors associated with opioid misuse and overdose, and assess knowledge of take-home naloxone, and other harm-reduction strategies as well as participation in medications for opioid use disorder (MOUD) among emergency department (ED) patients that have been prescribed opioid medications. METHODS: This was a pilot survey of a convenience sample of adult ED patients with a past opioid prescription at one urban tertiary care hospital. The survey asked participants about patterns of opioid consumption, risk factors associated with opioid misuse, and knowledge of harm-reduction strategies. The survey tool consisted of mixed open- and closed-ended questions. Reported daily POM consumption was converted to milligram morphine equivalents (MME). Responses to survey questions were compared with daily MME in order to generate hypotheses for future research. RESULTS: 50 individuals completed a survey. Of these, 56% reported taking opioids daily, and 24% reported greater than 100 MME daily opioid consumption. Many subjects reported history of psychiatric illness (34%) and previous substance abuse treatment (24%). The majority of patients (66%) were not aware of take-home naloxone programs to treat opioid overdose. CONCLUSIONS: In this pilot survey of ED patients with a pain-related chief complaint, many respondents reported risk factors for opioid misuse, and the majority of participants were unaware of the existence of important harm-reduction strategies, such as take-home naloxone programs, even among those with the highest daily POM use. Elsevier 2021-08-17 /pmc/articles/PMC9031431/ /pubmed/35480608 http://dx.doi.org/10.1016/j.rcsop.2021.100062 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Fox, Lindsay M.
Shastry, Siri
Harper-Brooks, Avis
Ramdin, Christine
Manini, Alex F.
Pilot survey of prescription opioid use patterns and engagement with harm-reduction strategies in emergency department patients
title Pilot survey of prescription opioid use patterns and engagement with harm-reduction strategies in emergency department patients
title_full Pilot survey of prescription opioid use patterns and engagement with harm-reduction strategies in emergency department patients
title_fullStr Pilot survey of prescription opioid use patterns and engagement with harm-reduction strategies in emergency department patients
title_full_unstemmed Pilot survey of prescription opioid use patterns and engagement with harm-reduction strategies in emergency department patients
title_short Pilot survey of prescription opioid use patterns and engagement with harm-reduction strategies in emergency department patients
title_sort pilot survey of prescription opioid use patterns and engagement with harm-reduction strategies in emergency department patients
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9031431/
https://www.ncbi.nlm.nih.gov/pubmed/35480608
http://dx.doi.org/10.1016/j.rcsop.2021.100062
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