Session Type
Meeting
Search Results for Opiate
Abstract Number: 7
SHM Converge 2021
Background: Patients admitted to New Hanover Regional Medical Center with a history of opiate use disorder (OUD) and serious infections require a median length of stay (LOS) of 33 days and discharge against medical advice (AMA) 26% of the time, resulting in quality and safety gaps which includes incomplete treatment, readmissions, and high cost of […]
Abstract Number: 114
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: As of December 2015, 49 states initiated the CMS mandated legislation on “Prescription Drug Monitoring Programs.” Yet opiates continue to be commonly prescribed in older adults, despite their well-known risks. This study aims to determine patterns of opiate prescribing, specifically in hospitalized older adults and their impact on outcomes. Methods: This one year retrospective […]
Abstract Number: 188
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Administering opiates safely in hospitalized patients with acute on chronic pain is challenging. There is limited data to guide pain management in this population due to high prevalence of opiate tolerance and variance in daily opiate exposure. There is a need to establish a safe and effective pain medicine regimen in the hospital that stratifies opiates based on […]
Abstract Number: 320
SHM Converge 2021
Case Presentation: A 30-year-old man with sickle cell anemia presented to the ED with pain in his left hip similar to prior vasooclussive crisis (VOC). There was no identifiable trigger and his review of symptoms was negative. Past medical history included sickle cell anemia complicated by acute chest syndrome (ACS), avascular necrosis of the right […]
Abstract Number: 340
SHM Converge 2023
Background: Published work applying game theory to physician-patient interactions is nearly non-existent [1-4]. The most prominent work is the example of an emergency medicine physician being asked to prescribe opiates for a patient they suspect of opiate use disorder (OUD) seeking opiates for secondary gain (McAdams 2014). McAdams’ game theory analysis suggested that institutional pressure […]
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: 705
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 37 year-old woman with a past medical history of depression and chronic knee pain presented with complaints of two day duration non-radiating 8/10 epigastric and lower abdominal pain associated with nausea and vomiting. Vitals sings were normal. Abdomen was soft, non-distended with generalized tenderness, but without masses, rebound, or guarding. Lipase was […]