Toxicology Screening in Orthopedic Trauma Patients Predicting Duration of Prescription Opioid Use

Following hospitalization for orthopedic trauma, some patients continue to use opioids following fracture healing. This retrospective cohort study of 50 patients with high-energy fractures was conducted to determine if toxicology screening tests upon admission can predict subsequent opioid use. Data...

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Bibliographic Details
Published in:Journal of addictive diseases 2006-01, Vol.24 (4), p.31-41
Main Authors: Massey, Gene M., Dodds, Heather N., Roberts, Craig S., Servoss, Timothy J., Blondell, Richard D.
Format: Article
Language:English
Subjects:
Adult
Analgesics, Opioid - therapeutic use
Biological and medical sciences
Cohort Studies
Demography
Drug addictions
Drug Prescriptions - statistics & numerical data
Drug testing
Drug use
Female
Fractures, Bone - diagnosis
Fractures, Bone - epidemiology
Fractures, Bone - surgery
Humans
Injury Severity Score
Male
Medical sciences
Narcotics
Orthopedics
Orthopedics - statistics & numerical data
Pain, Postoperative - drug therapy
Pain, Postoperative - epidemiology
Retrospective Studies
Substance Abuse Detection - methods
Substance-Related Disorders - blood
Substance-Related Disorders - epidemiology
Substance-Related Disorders - urine
Time Factors
Toxicology
Toxicology - methods
trauma patients
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Summary:Following hospitalization for orthopedic trauma, some patients continue to use opioids following fracture healing. This retrospective cohort study of 50 patients with high-energy fractures was conducted to determine if toxicology screening tests upon admission can predict subsequent opioid use. Data were collected from clinical records and a statewide electronic database of prescription records. Six months following hospital discharge, those with positive toxicology used more opioids (730 mg vs. 364 mg; P=.04) expressed as morphine equivalents than those with negative toxicology and were more likely to continue using opiates at the end of the 3rd, 4th, 5th, and 6th month after discharge. Patients hospitalized for high-energy fractures with positive admission toxicology are at risk for prolonged opiate use during the initial six months following discharge.
ISSN:1055-0887
1545-0848
DOI:10.1300/J069v24n04_03