TY - JOUR
T1 - Patterns of use and factors associated with early discontinuation of opioids following major trauma
AU - Chaudhary, Muhammad Ali
AU - Scully, Rebecca
AU - Jiang, Wei
AU - Chowdhury, Ritam
AU - Zogg, Cheryl K.
AU - Sharma, Meesha
AU - Ranjit, Anju
AU - Koehlmoos, Tracey
AU - Haider, Adil H.
AU - Schoenfeld, Andrew J.
N1 - Funding Information:
This project was funded in part by a grant from the Henry M. Jackson Foundation for the Advancement of Military Medicine. The following authors receive partial salary support from the Comparative Effectiveness and Provider Induced Demand Collaboration (EPIC) grant: MAC, WJ, RC, MS, AR, TK, AHH, AJS.
Funding Information:
This project was funded in part by a grant from the Henry M. Jackson Foundation for the Advancement of Military Medicine. The following authors receive partial salary support from the Comparative Effectiveness and Provider Induced Demand Collaboration (EPIC) grant: MAC, WJ, RC, MS, AR, TK, AHH, AJS.
Publisher Copyright:
© 2017 Elsevier Inc.
PY - 2017/11
Y1 - 2017/11
N2 - Background Inappropriate use of prescription opioids is a growing public-health issue. We sought to estimate the proportion of traumatic injury patients using legal prescription opioids up to 1-year after hospitalization. Methods We used 2006–2014 claims data from TRICARE insurance to identify adults hospitalized secondary to trauma between 2007 and 2013. Prescription opioid use was evaluated for one-year post-discharge. Risk-adjusted Cox Proportional-hazards models were used to evaluate predictors of opioid discontinuation. Results Only 1% of patients sustained legal prescription opioid use at 1-year following trauma. Lower socioeconomic status (HR 0.92, 95% CI 0.87–0.98) and higher injury severity (HR 0.88, 95% CI 0.84–0.91) were associated with sustained use. Younger patients (HR 1.12, 95% CI 1.04–1.21) and Black patients (HR 1.09, 95% CI 1.04–1.15) were found to have a higher likelihood of opioid discontinuation. Conclusions In this population, adult patients who sustained trauma were not at high risk of sustained legal prescription opioid use.
AB - Background Inappropriate use of prescription opioids is a growing public-health issue. We sought to estimate the proportion of traumatic injury patients using legal prescription opioids up to 1-year after hospitalization. Methods We used 2006–2014 claims data from TRICARE insurance to identify adults hospitalized secondary to trauma between 2007 and 2013. Prescription opioid use was evaluated for one-year post-discharge. Risk-adjusted Cox Proportional-hazards models were used to evaluate predictors of opioid discontinuation. Results Only 1% of patients sustained legal prescription opioid use at 1-year following trauma. Lower socioeconomic status (HR 0.92, 95% CI 0.87–0.98) and higher injury severity (HR 0.88, 95% CI 0.84–0.91) were associated with sustained use. Younger patients (HR 1.12, 95% CI 1.04–1.21) and Black patients (HR 1.09, 95% CI 1.04–1.15) were found to have a higher likelihood of opioid discontinuation. Conclusions In this population, adult patients who sustained trauma were not at high risk of sustained legal prescription opioid use.
KW - Opioid dependence
KW - Sustained opioid use
KW - Traumatic injury
UR - http://www.scopus.com/inward/record.url?scp=85020665042&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2017.05.013
DO - 10.1016/j.amjsurg.2017.05.013
M3 - Article
C2 - 28619266
AN - SCOPUS:85020665042
SN - 0002-9610
VL - 214
SP - 792
EP - 797
JO - American Journal of Surgery
JF - American Journal of Surgery
IS - 5
ER -