Session Type
Meeting
Search Results for Opioid
Abstract Number: 371
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Clinician prescribing practices are a contributing factor to and potential mitigator of the opioid epidemic in the United States. Several studies have identified the hospital setting as an important entry point into chronic opioid use. The Society for Hospital Medicine (SHM) and the Centers for Disease Control and Prevention (CDC) have made recommendations for […]
Abstract Number: 407
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Recently enacted policies in multiple states have placed restrictions on opioid prescription days given the risk of development of chronic opioid therapy with prolonged opioid prescriptions. However, there are still patients who receive an excessive number of opioid prescription days after discharge from the hospital. We studied this population retrospectively to understand which patient-level […]
Abstract Number: 408
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Development of opiate use disorder and opiate overdose has been associated with prolonged opiate-days prescribed. Conventionally, opiate-days supplied has been calculated based on the discharge prescription signature (e.g., how a patient is supposed to take the medication) and the number of pills dispensed. It is not clear whether the number of days supplied reflects […]
Abstract Number: 409
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: In March of 2016, the CDC released guidelines recommending shorter duration of opioid prescriptions. While these guidelines have the potential to influence hospitalist practice, it is not clear whether discharge prescribing patterns have changed for hospitalized patients. We perform an interrupted time series analysis to examine changes in discharge opioid prescribing from an inpatient […]
Abstract Number: 422
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Drug overdose deaths are increasing throughout the country. Increasing naloxone availability is a cost-effective way to prevent opioid-related deaths. High-risk patients admitted in the hospital may benefit from a take-home naloxone prescription. This study aims to assess naloxone prescribing practices upon hospital discharge. Methods: An anonymous survey was distributed to attendings, residents, and advanced […]
Abstract Number: 434
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Subcutaneous (SC) methylnaltrexone (MNTX) is approved for opioid-induced constipation (OIC) in adults with chronic noncancer pain and OIC in adults with advanced illness or with active cancer who require opioid dosage escalation for palliative care. This post hoc analysis evaluated data pooled from 3 randomized studies of patients with advanced illness and OIC. Methods: […]
Abstract Number: 475
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 25-year-old woman with a remote history of intravenous drug use, last reported seven months prior, presented with two days of progressive cyanosis and pain of the medial right hand with associated paresthesia, hyperesthesia, and stiffness. Physical exam revealed well-demarcated cyanosis of the fourth, fifth, and medial third digits extending to the wrist […]
Abstract Number: 695
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 53-year-old African American woman with a history of systemic lupus erythematosus, refractory hypertension, and cerebrovascular accident, was found unresponsive and hypotensive at home. On presentation, the patient was drowsy but arousable and oriented to person, place and time. Vitals were notable for sinus bradycardia (50s) and hypotension (SBP in 90s). She was […]
Abstract Number: 793
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 34-year-old man with history of injection (IV) heroin misuse, anxiety, and homelessness presents with dyspnea and pleuritic chest pain. He was recently hospitalized with Methicillin-Sensitive Staph Aureus (MSSA) tricuspid valve (TV) endocarditis complicated by acute heart failure and septic pulmonary emboli but left against medical advice. On admission he was afebrile, tachycardic […]