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Adil Haider
Article
Patterns of use and factors associated with early discontinuation of opioids following major trauma
American journal of surgery
  • Muhammad Ali Chaudhary, Harvard T. H. Chan School of Public Health, Boston
  • Rebecca Scully, Harvard T. H. Chan School of Public Health, Boston
  • Wei Jiang, Harvard T. H. Chan School of Public Health, Boston
  • Ritam Chowdhury, Harvard T. H. Chan School of Public Health, Boston
  • Cheryl K Zogg, Harvard T. H. Chan School of Public Health, Boston
  • Meesha Sharma, Harvard T. H. Chan School of Public Health, Boston
  • Anju Ranjit, Harvard T. H. Chan School of Public Health, Boston
  • Tracey Koehlmoos, Uniformed Services University of the Health Sciences, Bethesda
  • Adil H Haider, Brigham and Women's Hospital, Harvard Medical School and Harvard T. H. Chan School of Public Health, Boston
  • Andrew J Schoenfeld, Brigham and Women's Hospital, Harvard Medical School, Boston
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Publication Date
11-1-2017
Document Type
Article
Disciplines
Abstract

Background: Inappropriate use of prescription opioids is a growing public-health issue. We sought to estimate the proportion of traumatic injury patients using legal prescription opioids up to 1-year after hospitalization.
Methods: We used 2006-2014 claims data from TRICARE insurance to identify adults hospitalized secondary to trauma between 2007 and 2013. Prescription opioid use was evaluated for one-year post-discharge. Risk-adjusted Cox Proportional-hazards models were used to evaluate predictors of opioid discontinuation.
Results: Only 1% of patients sustained legal prescription opioid use at 1-year following trauma. Lower socioeconomic status (HR 0.92, 95% CI 0.87-0.98) and higher injury severity (HR 0.88, 95% CI 0.84-0.91) were associated with sustained use. Younger patients (HR 1.12, 95% CI 1.04-1.21) and Black patients (HR 1.09, 95% CI 1.04-1.15) were found to have a higher likelihood of opioid discontinuation.
Conclusions: In this population, adult patients who sustained trauma were not at high risk of sustained legal prescription opioid use.

Comments

This work was published before the author joined Aga Khan University

Citation Information
Muhammad Ali Chaudhary, Rebecca Scully, Wei Jiang, Ritam Chowdhury, et al.. "Patterns of use and factors associated with early discontinuation of opioids following major trauma" American journal of surgery Vol. 214 Iss. 5 (2017) p. 792 - 797
Available at: http://works.bepress.com/adil_haider/65/