@article{ref1,
title="Long-term prescription opioid use after injury in Washington State 2015-2018",
journal="Journal of emergency medicine",
year="2022",
author="Lyons, Vivian H. and Haviland, Miriam J. and Zhang, Irene Y. and Whiteside, Lauren K. and Arbabi, Saman and Vavilala, Monica S. and Curatolo, Michele and Rivara, Frederick P. and Rowhani-Rahbar, Ali",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Patients with injury may be at high risk of long-term opioid use due to the specific features of injury (e.g., injury severity), as well as patient, treatment, and provider characteristics that may influence their injury-related pain management. <br><br>OBJECTIVES: Inform prescribing practices and identify high-risk populations through studying chronic prescription opioid use in the trauma population. <br><br>METHODS: Using the Washington State All-Payer Claims Database (WA-APCD) data, we included adults aged 18-65 years with an incident injury from October 1, 2015-December 31, 2017. We compared patient, injury, treatment, and provider characteristics by whether or not the patients had long-term (≥ 90 days continuous prescription opioid use), or no opioid use after injury. <br><br>RESULTS: We identified 191,130 patients who met eligibility criteria and were included in our cohort; 5822 met criteria for long-term use. Most had minor injuries, with a median Injury Severity Score = 1, with no difference between groups. Almost all patients with long-term opioid use had filled an opioid prescription in the year prior to their injury (95.3%), vs. 31.3% in the no-use group (p < 0.001). Comorbidities associated with chronic pain, mental health, and substance use conditions were more common in the long-term than the no-use group. <br><br>CONCLUSION: Across this large cohort of multiple, mostly minor, injury types, long-term opioid use was relatively uncommon, but almost all patients with chronic use post injury had preinjury opioid use. Long-term opioid use after injury may be more closely tied to preinjury chronic pain and pain management than acute care pain management.<p /> <p>Language: en</p>",
language="en",
issn="0736-4679",
doi="10.1016/j.jemermed.2022.04.029",
url="http://dx.doi.org/10.1016/j.jemermed.2022.04.029"
}