Toxicology Screening in Orthopedic Trauma Patients Predicting Duration of Prescription Opioid Use
- 26 January 2006
- journal article
- Published by Taylor & Francis Ltd in Journal of Addictive Diseases
- Vol. 24 (4), 31-41
- https://doi.org/10.1300/j069v24n04_03
Abstract
Following hospitalization for orthopedic trauma, some patients continue to use opioids following fracture healing. This retrospective cohort study of 50 patients with high-energy fractures was conducted to determine if toxicology screening tests upon admission can predict subsequent opioid use. Data were collected from clinical records and a statewide electronic database of prescription records. Six months following hospital discharge, those with positive toxicology used more opioids (730 mg vs. 364 mg; P=.04) expressed as morphine equivalents than those with negative toxicology and were more likely to continue using opiates at the end of the 3rd, 4th, 5th, and 6th month after discharge. Patients hospitalized for high-energy fractures with positive admission toxicology are at risk for prolonged opiate use during the initial six months following discharge.Keywords
This publication has 13 references indexed in Scilit:
- Urine drug testing in pain medicineJournal of Pain and Symptom Management, 2004
- PRESCRIPTION DRUG ABUSE: A Question of BalanceMedical Clinics of North America, 1997
- Psychoactive substance use disorders among seriously injured trauma center patientsJAMA, 1997
- Practical Guidelines for Performing Alcohol Interventions in Trauma CentersThe Journal of Trauma and Acute Care Surgery, 1997
- The "WAM" score: sensitivity and specificity of a user friendly biological screening test for alcohol problems in trauma patientsAddiction, 1996
- Drug and Alcohol Use in Orthopedic Trauma Patients: A Prospective StudyJournal of Orthopaedic Trauma, 1996
- Toxicology Screening in Urban Trauma PatientsThe Journal of Trauma and Acute Care Surgery, 1989
- Medication management in patients with chronic non-malignant pain. A review of the use of a drug withdrawal protocolPain, 1986
- ASSESSMENT OF COMA AND IMPAIRED CONSCIOUSNESS: A Practical ScaleThe Lancet, 1974
- THE INJURY SEVERITY SCOREJournal Of Trauma-Injury Infection and Critical Care, 1974