Prescription Opioid Use and Misuse Among Older Adult Rhode Island Hospital Emergency Department Patients

Because of the multitude of financial, health, and social problems associated with prescription opioid misuse, effective methods of identifying older adults who are misusing these medications are needed. We conducted a pilot investigation to determine the prevalence of previous and current prescript...

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Veröffentlicht in:Rhode Island medical journal (2013) 2015-03, Vol.98 (3), p.28-31
Hauptverfasser: Henderson, Adam W, Babu, Kavita M, Merchant, Roland C, Beaudoin, Francesca L
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container_title Rhode Island medical journal (2013)
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creator Henderson, Adam W
Babu, Kavita M
Merchant, Roland C
Beaudoin, Francesca L
description Because of the multitude of financial, health, and social problems associated with prescription opioid misuse, effective methods of identifying older adults who are misusing these medications are needed. We conducted a pilot investigation to determine the prevalence of previous and current prescription opioid use among older adults visiting the Rhode Island Hospital Emergency Department and their need for opioid misuse interventions. Among 88 randomly selected older adults (≥ 65 years of age) presenting to the ED with sub-critical illness or injury, 19% (95% CI: 11-27%) were current opioid users and 6% (95% CI: 4-8%) would require an intervention for prescription opioid misuse. We identified problems of improper acquisition, diversion, provider refusal to prescribe opioids, hoarding, and inappropriate use of opioids among this population. Emergency medicine clinicians should query their older adult patients about prescription opioid misuse and associated problematic behaviors.
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subjects Aged
Aged, 80 and over
Analgesics, Opioid
Emergency Service, Hospital
Female
Humans
Male
Opioid-Related Disorders - diagnosis
Opioid-Related Disorders - epidemiology
Pilot Projects
Prescription Drug Misuse - statistics & numerical data
Rhode Island
Surveys and Questionnaires
title Prescription Opioid Use and Misuse Among Older Adult Rhode Island Hospital Emergency Department Patients
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