Emergency Department Patient Perspectives on the Risk of Addiction to Prescription Opioids

Pain Medicine : the Official Journal of the American Academy of Pain Medicine
Michael ConrardyDanielle M McCarthy

Abstract

To characterize emergency department (ED) patients' knowledge and beliefs about the addictive potential of opioids. Mixed methods analysis of data from a randomized controlled trial. Urban academic ED (>88,000 visits). One hundred and seventy four discharged ED patients prescribed hydrocodone-acetaminophen for acute pain. The study analyzed data collected from a randomized controlled trial investigating patients' knowledge of opioids. ED patients discharged with hydrocodone-acetaminophen completed an audio-recorded phone interview 4–7 days later. This analysis focuses on responses about addiction. Responses were categorized using content analysis; thematic analysis identified broad themes common across different categories. Participants' mean age was 45.5 years (SD, 14.8), 58.6% female, 50.6% white, and the majority had an orthopedic diagnosis (24.1% back pain, 52.3% other injuries). Responses were categorized first based on whether the patient believed that opioids could be addictive (categorized as: yes, 58.7%; no, 19.5%; depends, 17.2%; or do not know, 4.6%), and second based on whether or not the patient discussed his/her own experience with the medication (categorized as: personalized, 35.6%; or not personalized, 64.4%). C...Continue Reading

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Citations

May 3, 2016·Emergency Medicine Clinics of North America·Richard Gentry WilkersonDarren P Mareiniss
Feb 27, 2016·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Adam S ReinsteinJeffery A Dusek
Jul 19, 2019·Current Medical Research and Opinion·George J Nassif, Timothy E Miller

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