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Opioid Analgesics Administered for Pain in the Inpatient Pediatric Setting. J Pain 2017 10;18(10):1270-1276

Date

06/28/2017

Pubmed ID

28652205

DOI

10.1016/j.jpain.2017.06.001

Abstract

: This study aimed to describe utilization of opioid medications among infants, children, and adolescents on the inpatient setting. These data are needed to guide clinical trials and improve research methodologies, as well as to inform more about possible sources of opioid misuse in the United States. A retrospective chart review was conducted covering a span of 1 year, with a special focus on the prescription of opioids for long-term treatment of chronic pain. Opioid medications were prescribed for <5 days in most (75%) patients. Among those who were prescribed opioids for >14 days, the focus was often for reasons other than pain. These data indicate that models of chronic pain that may be utilized in clinical trials of longer-term opioid usage in pediatrics are exceedingly limited. In addition, the patterns of utilization indicate that opioid administration among pediatric inpatients is not a likely contributory factor to concerns about opioid misuse in the United States.

PERSPECTIVE: This article presents data on the administration of opioids in a major children's hospital, with a special eye toward usage beyond treatment for short-term acute pain. These data are important to better inform discussions of research strategies for chronic pain, as well as concerns for misuse in the pediatric population.

Author List

Walco GA, Gove N, Phillips J, Weisman SJ

Author

Steven J. Weisman MD Professor in the Anesthesiology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Analgesics, Opioid
Child
Child, Preschool
Chronic Pain
Female
Hospitalization
Hospitals, Pediatric
Humans
Infant
Infant, Newborn
Inpatients
Male
Practice Patterns, Physicians'
Retrospective Studies
Time Factors
jenkins-FCD Prod-484 8aa07fc50b7f6d102f3dda2f4c7056ff84294d1d