Patient Preference for Pain Medication in the Emergency Department Is Associated with Non-fatal Overdose History

The Western Journal of Emergency Medicine
Lauren K WhitesideAmy S B Bohnert

Abstract

Opioid overdose is a major public health problem. Emergency physicians need information to better assess a patient's risk for overdose or opioid-related harms. The purpose of this study was to determine if patient-reported preference for specific pain medications was associated with a history of lifetime overdose among patients seeking care in the emergency department (ED). ED patients (18-60 years) completed a screening survey that included questions on overdose history, ED utilization, opioid misuse behaviors as measured by the Current Opioid Misuse Measure (COMM), and analgesic medication preferences for previous ED visits for pain with specific responses for preference for hydromorphone (Dilaudid®), morphine, ketorolac (Toradol®), "no preference" or "never visited the ED for pain." We compared individuals who reported a lifetime history of overdose descriptively to those without a lifetime history of overdose. Logistic regression was used to determine factors associated with a history of overdose. We included 2,233 adults in the analysis (71.5% response rate of patients approached) with 532 reporting at least one lifetime overdose. In the univariate analysis, medication preference was significantly associated with overdose ...Continue Reading

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Citations

Oct 27, 2021·Advanced Emergency Nursing Journal·Brittany E PunchesMichael S Lyons

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Software Mentioned

R Core Team
Opioid Risk Tool
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