Preference for opioids in Emergency Department patients with acute musculoskeletal pain
The American Journal of Emergency Medicine Jan 04, 2019
Swenson C, et al. - Researchers sought to determine the patient preference for analgesics before and after a brief educational intervention informing them of the risks and benefits of opioids vs non-steroidal anti-inflammatory drugs (NSAID's). They hypothesize that pre-intervention 50% of patients would prefer opioids and the intervention would reduce this by at least 15%. This study was performed at a suburban ED with an annual census of 110,000. English-speaking adult ED patients with acute musculoskeletal pain were included. Of all 94 patients, 48 had a desire for an analgesic pre-intervention. Of these 48 patients, specifically opioid was preferred by 10. Of the 10 patients who preferred an opioid pre-intervention, one showed no preference for analgesic post-intervention. This suggests that no analgesia is desired by many adult ED patients with acute musculoskeletal pain, but there are few who specifically prefer opioids. This knowledge may help ED physicians across the country in discussing pain management options with patients.
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