Analgesic and Opioid Use for Patients Discharged from the Emergency Department with Ureteral Stones.

Journal of Endourology
Andrew C MeltzerStephen V Jackman

Abstract

Objective: The aim of this study was to describe and characterize the analgesic and opioid use for patients discharged from the emergency department (ED) with renal colic due to ureteral stone. Methods: This is a secondary analysis of a multicenter prospective trial of ED patients diagnosed by CT scan as having a symptomatic ureteral stone <9 mm in diameter. Participants were contacted after randomization on days 2, 7, 15, 20, and 29 and reported opioid and nonopioid analgesic use and stone passage. CT scan was repeated on day 29 to 36 to confirm passage. Results: Of 403 participants, 314 (77.9%) took an analgesic after discharge and 199 (49.4%) took opioids. Opioids were more commonly used by younger patients (p = 0.04) and those with a family history of stones (p = 0.003). Stone size and tamsulosin use were not associated with analgesic utilization. Shorter time to passage and more distal stone location were associated with less analgesic and opioid use. For those who did not expel a stone, 55.0% took opioids at any time, and for those who did expel a stone, 31.9% took opioids before the stone was expelled and 15.7% took opioids at any time after the stone was expelled. Conclusions: Factors associated with increased use of an...Continue Reading

Associated Clinical Trials

References

Jul 26, 2011·Emergency Medicine Clinics of North America·Autumn GrahamAllan B Wolfson
Apr 14, 2012·European Urology·Charles D ScalesUNKNOWN Urologic Diseases in America Project
Nov 20, 2015·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Victor CohenJohn Marshall
Jan 24, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Bory KeaBenjamin C Sun
Mar 16, 2016·JAMA : the Journal of the American Medical Association·Deborah DowellRoger Chou
Aug 16, 2016·The Journal of Urology·Gregory E TasianSusan L Furth
Jun 19, 2018·JAMA Internal Medicine·Andrew C MeltzerJeremy Brown
Mar 5, 2019·The Journal of Urology·Jonathan E ShoagBrian H Eisner
Sep 14, 2019·European Urology Focus·Gregory W HosierD Robert Siemens

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