TY - JOUR
T1 - Opioid Prescribing to Adolescents upon Discharge from an Admission of 48 Hours or Less
AU - Axson, Sydney A.
AU - Giordano, Nicholas A.
AU - McDonald, Catherine C.
AU - Pinto-Martin, Jennifer A.
N1 - Funding Information:
We thank the Children’s Hospital of Philadelphia (CHOP) Leadership Education in Adolescent Health (LEAH) program and the Rita & Alex Hillman Foundation for their education and training support of the lead author. Additionally, we thank Dr. Peggy Compton, Sarah Klieger, and Rachel Rogers for their expertise and support.
Funding Information:
This project was funded by the Rita & Alex Hillman Foundation; and supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under [17T7MC30798] Leadership Education in Adolescent Health (LEAH). This information or content and conclusion are those of the author and should not be construed as the official position or policy, nor should any endorsements be inferred by HRSA, HHS, or the U.S. government. We thank the Children?s Hospital of Philadelphia (CHOP) Leadership Education in Adolescent Health (LEAH) program and the Rita & Alex Hillman Foundation for their education and training support of the lead author. Additionally, we thank Dr. Peggy Compton, Sarah Klieger, and Rachel Rogers for their expertise and support.
Publisher Copyright:
© 2019, © 2019 Taylor & Francis Group, LLC.
PY - 2019/5/4
Y1 - 2019/5/4
N2 - The purpose of this study was to examine prescribing patterns and identify characteristics associated with an adolescent being prescribed an opioid at time of discharge from a hospital stay of 48 hours or less. We performed a retrospective cross-sectional analysis of EHR data from a pediatric health system. Our sample included 2,180 patient visits resulting in a pain medication prescribed at time of discharge. We found 35% of the sample received a prescription for an opioid medication upon discharge. Both patient and clinical factors such as age, insurance status, pain scores, and unit of discharge were significantly associated with increased odds of receiving an opioid upon discharge. This work contributes to understanding how an adolescent population is exposed to opioids through the healthcare system. Characterizing opioids prescribed upon discharge is one step towards a better understanding of how opioids enter communities and impact public health.
AB - The purpose of this study was to examine prescribing patterns and identify characteristics associated with an adolescent being prescribed an opioid at time of discharge from a hospital stay of 48 hours or less. We performed a retrospective cross-sectional analysis of EHR data from a pediatric health system. Our sample included 2,180 patient visits resulting in a pain medication prescribed at time of discharge. We found 35% of the sample received a prescription for an opioid medication upon discharge. Both patient and clinical factors such as age, insurance status, pain scores, and unit of discharge were significantly associated with increased odds of receiving an opioid upon discharge. This work contributes to understanding how an adolescent population is exposed to opioids through the healthcare system. Characterizing opioids prescribed upon discharge is one step towards a better understanding of how opioids enter communities and impact public health.
UR - http://www.scopus.com/inward/record.url?scp=85074271087&partnerID=8YFLogxK
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U2 - 10.1080/1067828X.2019.1679688
DO - 10.1080/1067828X.2019.1679688
M3 - Article
AN - SCOPUS:85074271087
SN - 1067-828X
VL - 28
SP - 190
EP - 199
JO - Journal of Child and Adolescent Substance Abuse
JF - Journal of Child and Adolescent Substance Abuse
IS - 3
ER -
