Variation in opioid analgesia administration and discharge prescribing for emergency department patients with suspected urolithiasis.

ABSTRACT:

Objective

Previous research has suggested caution about opioid analgesic usage in the emergency department (ED) setting and raised concerns about variations in prescription opioid analgesic usage, both across institutions and for whom they are prescribed. We examined opioid analgesic usage in ED patients with suspected urolithiasis across fifteen participating hospitals.

Methods

This is a secondary analysis of a clinical trial including adult ED patients with suspected urolithiasis. In multilevel models accounting for clustering by hospital, we assessed demographic, clinical, state-level, and hospital-level factors associated with opioid analgesic administration during the ED visit and prescription at discharge.

Results

Of 2352 participants, 67% received an opioid ana

SUBMITTER: Wentz AE 

PROVIDER: S-EPMC7704692 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature