Search results for "Opioids"
From hospital to overdose
Patients on long-term opioid therapy face increased risk of overdose after discharge. What can hospitalists do to help?
15 Mar 2023
Opioid agonist therapy infrequently prescribed during hospitalization for veterans with opioid use disorder
About 15% of inpatients with opioid use disorder received methadone or buprenorphine in the hospital, and the vast majority of patients who were not on opioid agonist therapy prior to admission did not receive it during hospitalization.
22 Apr 2020
Documenting opioid disorders
There are 11 different DSM-5 clinical criteria for opioid-related disorders, and severity is determined by the number of diagnostic criteria applicable to each patient.
2 Nov 2022
Few internal medicine residency programs provide clinical opioid-related training
A 2019 survey of members of the Association of Program Directors in Internal Medicine found that while 82% of programs required some training in safe opioid prescribing and opioid use disorder treatment, few programs required clinical experiences.
10 Nov 2021
Prescription of opioids at hospital discharge may vary by race/ethnicity
A single-center, retrospective analysis of patients who received opioids in the last 24 hours of hospitalization found that Black patients were less likely than White or Asian patients to be prescribed opioids at discharge.
22 Sep 2021
Early opioid withdrawal treatment reduced early departures from the hospital
Withdrawal treatment with buprenorphine, methadone, or other opioid analgesics was associated with a lower risk of patients with opioid use disorder leaving the hospital prior to completion of medical treatment versus no withdrawal treatment, a study found.
22 Feb 2023
Opioid exposure linked to increased risk of delirium in critically ill adults
A Dutch study found that opioid use in the ICU increased the daily risk of delirium by 45% in a dose-dependent manner and that this increased risk was independent of the degree of pain present.
21 Apr 2021
Restrictive postop opioid protocols associated with changes in opioid prescribing, chronic use
Opioids prescribed after surgery and rates of conversion to long-term therapy decreased after a protocol limiting postop opioid prescriptions to three days or fewer was implemented at a tertiary care cancer center.
11 Jan 2023
Encouraging use of subcutaneous opioids reduces IV opioid prescribing, pilot study finds
One general medicine unit educated prescribers and nursing staff about subcutaneous opioid administration and successfully adopted a standard of practice preferring oral and subcutaneous opioids over IVs.
23 May 2018
Stewardship program improved perioperative opioid prescribing
A project in a safety-net health system reduced use of hydrocodone-acetaminophen for surgical patients and increased prescribing of acetaminophen, ibuprofen, and oxycodone to them without increasing overall opioid use or returns to the ED.
21 Dec 2022