Opioid Utilization and Perception of Pain Control in Hospitalized Patients: A Cross-Sectional Study of 11 Sites in 8 Countries.
Background: Hospitalized patients are frequently treated with opioids for pain control, and receipt of opioids at hospital discharge may increase the risk of future chronic opioid use.Objective: To compare inpatient analgesic prescribing patterns and patients' perception of pain control in the Unite...
| Publicado en: | Journal of Hospital Medicine Vol. 14; no. 12; pp. 737 - 746 |
|---|---|
| Autores principales: | , , , , , , , , , , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2019
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139878469&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 139878469 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15535592 6BER jtl: Journal of Hospital Medicine issn: 15535592 maglogo: Y pubinfo: dt: Dec2019 vid: 14 iid: 12 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 139878469 139878469 NLM31339840 139878469 10.12788/jhm.3256 NLM31339840 139878469 ppf: 737 ppct: 9 formats: tig: atl: Opioid Utilization and Perception of Pain Control in Hospitalized Patients: A Cross-Sectional Study of 11 Sites in 8 Countries. aug: au: Burden, Marisha Keniston, Angela Wallace, Mary Anderson Busse, Jason W. Casademont, Jordi Chadaga, Smitha R. Chandrasekaran, Sumitra Cicardi, Marco Cunningham, John M. Filella, David Hoody, Daniel Hilden, David Ming-Ju Hsieh Yoon-Seon Lee Melley, Daniel D. Munoa, Anna Perego, Francesca Chin-Chung Shu Chang Hwan Sohn Spence, Jeffrey affil: Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado sug: subj: Pain Measurement International Relations Pain Drug Therapy Drug Utilization Trends Hospitalization Trends Analgesics, Opioid Therapeutic Use Female Patient Satisfaction Cross Sectional Studies Pain Therapy Prescriptions, Drug Aged Male Pain Psychosocial Factors Pain Epidemiology Middle Age Pain Measurement Psychosocial Factors Adult Human Validation Studies Comparative Studies Evaluation Research Multicenter Studies Aged: 65+ years Middle Aged: 45-64 years Adult: 19-44 years Female Male ab: Background: Hospitalized patients are frequently treated with opioids for pain control, and receipt of opioids at hospital discharge may increase the risk of future chronic opioid use.Objective: To compare inpatient analgesic prescribing patterns and patients' perception of pain control in the United States and non-US hospitals.Design: Cross-sectional observational study.Setting: Four hospitals in the US and seven in seven other countries.Participants: Medical inpatients reporting pain.Measurements: Opioid analgesics dispensed during the first 24-36 hours of hospitalization and at discharge; assessments and beliefs about pain.Results: We acquired completed surveys for 981 patients, 503 of 719 patients in the US and 478 of 590 patients in other countries. After adjusting for confounding factors, we found that more US patients were given opioids during their hospitalization compared with patients in other countries, regardless of whether they did or did not report taking opioids prior to admission (92% vs 70% and 71% vs 41%, respectively; P < .05), and similar trends were seen for opioids prescribed at discharge. Patient satisfaction, beliefs, and expectations about pain control differed between patients in the US and other sites.Limitations: Limited number of sites and patients/country.Conclusions: In the hospitals we sampled, our data suggest that physicians in the US may prescribe opioids more frequently during patients' hospitalizations and at discharge than their colleagues in other countries, and patients have different beliefs and expectations about pain control. Efforts to curb the opioid epidemic likely need to include addressing inpatient analgesic prescribing practices and patients' expectations regarding pain control. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|