HOW DO EMERGENCY DEPARTMENT PATIENTS STORE AND DISPOSE OF OPIOIDS AFTER DISCHARGE? A PILOT STUDY
HOW DO EMERGENCY DEPARTMENT PATIENTS STORE AND DISPOSE OF OPIOIDS AFTER DISCHARGE? A PILOT STUDY
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DOI：
10.1016/j.jen.2011.09.023
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发表时间：
2012-05-01
影响因子：
1.7
通讯作者：
Fleming, Michael
中科院分区：
文献类型：
--
作者：
Tanabe, Paula;Paice, Judith A.;Fleming, Michael
导言：近年来，类阿片滥用和过量使用急剧增加。用于治疗疼痛的类阿片的转移，无论是通过盗窃还是通过分享，都在增加，并可能助长这种滥用。基于这些趋势，我们设计了一项研究，以调查阿片类药物的存储和处置的做法，谁是规定这些代理人在急诊科。方法：进行了前瞻性队列试点研究。所有以轻微肌肉骨骼创伤、肾绞痛或急性背痛为主诉，出院后服用阿片类药物处方的成人（年龄≥ 18岁）均符合入选条件;排除慢性疼痛患者。要求患者参加两次家庭访谈，其中研究助理查看阿片类药物处方的储存位置。安全储存被定义为储存在上锁的容器或橱柜中。安全处置的定义是将药物返回指定地点，或将未使用的药丸与不需要的物质混合，放入可密封的容器中，然后放入垃圾桶。患者自述处置方法。研究方法的可行性评价了艾德访视后进行家庭访谈的能力。描述性统计被用来分析data.Results：25名受试者同意参加，20例患者完成了两个家庭访谈。这些药物都没有安全储存。只有1例患者处置的药物，但这样做不当。结论：这项试点研究揭示了广泛的阿片类药物的储存和处置不当。这项研究对艾德医生、护士和住院医师的教育有重要意义。
Introduction: Opioid abuse and overdose have increased drastically in recent years. Diversion of opioids used to treat pain, either through theft or sharing, is increasing and may contribute to this misuse. Based on these trends, we designed a study to investigate opioid storage and disposal practices of patients who were prescribed these agents in the emergency department.Methods: A prospective cohort pilot study was conducted. All adults (aged >= 18 years) with a chief complaint of either minor musculoskeletal trauma, renal colic, or acute back pain who were discharged home with an opioid prescription were eligible for inclusion; persons with chronic pain were excluded. Patients were asked to participate in two home interviews in which the research assistant viewed the storage location of the opioid prescription. Safe storage was defined as being stored in a locked container or cabinet. Safe disposal was defined as returning the drugs to a designated location or mixing unused pills with an undesirable substance, placing in a sealable container, and then in the trash. Patients self-reported disposal methods. Feasibility of study methods evaluated the ability to conduct home interviews after the ED visit. Descriptive statistics were used to analyze the data.Results: Twenty-five subjects consented to participate; 20 patients completed both home interviews. None of the medications were safely stored. Only 1 patient disposed of the medication, yet did so improperly.Conclusion: This pilot study revealed widespread improper storage and disposal of opioids. The study has major implications for education for ED physicians, nurses, and residents.