National Trends and Predictors of Opioid Administration in Patients Presenting With Abdominal Pain to the Emergency Department (2010–2018)

Author:

Aghaie Meybodi Mohamad,Shah Vraj,Razdan Reena,Amer Kamal,Ahlawat Sushil

Abstract

Given the current opioid crisis, in this study, we assess the national trend and factors associated with opioid administration for patients presenting to the emergency department with abdominal pain. This is a retrospective cross-sectional study conducted using the National Hospital Ambulatory Medical Care Survey from 2010 to 2018. Weighted multiple logistic regression was applied to assess the independent factors associated with opioid administration in the emergency department. Trends of opioid administration were evaluated using the linear trend analysis. There were an estimated total of 100,925,982 emergency department visits for abdominal pain. Overall, opioid was administered in 16.8% of visits. Age less than 25 years was associated with lower odds of receiving opioids. Patients living in the Northeast had the lower odds of receiving opioids (odds ratio [OR] = 0.82, p = .006) than patients living in the Midwest. Patients in the West had the highest odds of receiving opioids (OR = 1.16, p = .01). Non-Hispanic White patients had higher odds of opioid administration (OR = 1.29, p < .001). Trend analysis demonstrated a statistically significant reduction in opioid administration. From 2010 to 2018, opioid administration has approximately decreased in half. Living in the West and the non-Hispanic White racial group were the significant factors associated with a higher risk of opioid administration.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference31 articles.

1. Current state of opioid stewardship;Ardeljan;American Journal of Health-System Pharmacy,2020

2. Opioid guidelines are a necessary response to the opioid crisis;Ballantyne;Clinical Pharmacology & Therapeutics,2018

3. Racial and ethnic disparities in health: An emergency medicine perspective;Blanchard;Academic Emergency Medicine,2003

4. Risk of injury associated with opioid use in older adults;Buckeridge;Journal of the American Geriatrics Society,2010

5. Emergency hospitalizations for adverse drug events in older Americans;Budnitz;The New England Journal of Medicine,2011

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