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Opioid use and misuse three months after emergency department visit for acute pain

Academic Emergency Medicine Jul 24, 2019

Daoust R, et al. - Researchers conducted this prospective cohort study of a convenience sample of discharged patients ≥ 18 years who consulted for an acute pain condition (≤2 weeks) in the emergency department (ED) of a tertiary care urban center, to determine their opioid use rate and reasons for consuming 3 months after being discharged from the ED with an opioid prescription. Outcomes suggest that ED patients discharged with an opioid prescription for an acute pain condition may not necessarily use opioid associated with opioid misuse, at the 3-month follow-up. Opioids were consumed by 91% of those patients to treat pain. Opioid use for reasons other than the pain was noted in less than 1% of the whole cohort. Hence they recommend not considering the rate of long-term opioid use reported by prescription-filling database studies as a proxy for incidence of opioid misuse.
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