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Trends and risk factors for opioid administration for non-emergent lower back pain

World Journal of Orthopedics 2021年第9期12卷 700-709页

作者： Chukwuweike U Gwam Ahmed K Emara noor chughtai Sameer Javed T David Luo Kevin Y Wang Morad chughtai Tadhg O'Gara Johannes F Plate Department of Orthopedic Surgery Wake Forest School of MedicineWinston-SalemNC 27157United States Department of Orthopedic Surgery Cleveland Clinic FoundationClevelandOH 44195United States Department of Orthopaedic Surgery University of Pittsburgh5200 Centre AvenueSuite 415PittsburghPA 15232USA

BACKGROUND Non-emergent low-back pain(LBP)is one of the most prevalent presenting complaints to the emergency department(ED)and has been shown to contribute to overcrowding in the ED as well as diverting attention away from more serious *** has been an increasing focus in current literature regarding ED admission and opioid prescriptions for general complaints of pain,however,there is limited data concerning the trends over the last decade in ED admissions for non-emergent LBP as well as any subsequent opioid prescriptions by the ED for this *** To determine trends in non-emergent ED visits for back pain;annual trends in opioid administration for patients presenting to the ED for back pain;and factors associated with receiving an opioid-based medication for non-emergent LBP in the ED METHODS Patients presenting to the ED for non-emergent LBP from 2010 to 2017 were retrospectively identified from the National Hospital Ambulatory Medical Care Survey ***“year”variable was transformed to two-year intervals,and a weighted survey analysis was conducted utilizing the weighted variables to generate incidence *** statistics were used to assess differences in count data,and logistic regression was performed to identify factors associated with patients being discharged from the ED with *** significance was set to a P value of *** Out of a total of 41658475 total ED visits,3.8%(7726)met our inclusion and exclusion *** was a decrease in the rates of non-emergent back pain to the ED from 4.05%of all cases during 2010 and 2011 to 3.56%during 2016 and *** most common opioids prescribed over the period included hydrocodone-based medications(49.1%)and tramadol-based medications(16.9),with the combination of all other opioid types contributing to 35.7%of total opioids *** significantly associated with being prescribed narcotics included age over 43.84-years-old,higher income,priva

关键词： Opioids Low back pain Emergency Department Spine Complications Trends

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