Analgesic prescribing for patients who are discharged from an emergency department

Pain Medicine : the Official Journal of the American Academy of Pain Medicine
Kevin M TerrellDouglas K Miller

Abstract

Among patients who arrive at an emergency department (ED) with pain, over half remain in moderate or severe pain at ED discharge. Our objectives were to identify ED physicians' prescribing patterns when discharging patients with common musculoskeletal conditions and to determine if disparities in opioid prescribing exist. Five-year retrospective investigation. An urban, academic ED with approximately 100,000 annual visits, where physicians write discharge prescriptions, including over-the-counter medications, using a computerized order entry system. Adult patients who were discharged home from an ED with fractures (clavicle or long bone fractures) or non-fracture musculoskeletal diagnoses (sprains, strains, sciatica, or back pain). Patient demographics and pain medications prescribed for use at home. The study sample included 13,335 patients with a mean age of 39 years. Half were female; 52% were white; 39% were black; and 7% were Hispanic. Among fracture patients, 77% received an opioid prescription, 2% received a non-opioid prescription, and 21% received no analgesic prescription. The percentages for patients with non-fracture diagnoses were 65% (opioids), 18% (non-opioid analgesics), and 17% (no analgesic). Patients aged 80 ...Continue Reading

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Citations

Apr 19, 2011·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Christopher R CarpenterDouglas K Miller
Jan 15, 2014·PM & R : the Journal of Injury, Function, and Rehabilitation·Ming-Chih Jeffrey KaoMatthew Smuck
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