Prescripción de opioides al alta de un servicio de urgencia

Background There is a worrisome increase in opioid prescription worldwide. Their use and overuse may cause adverse outcomes. Aim To determine incidence and characteristics of opioid prescription at discharge at an emergency department (ED). Material and Methods A prospective observational study i...

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Autores principales:	Martínez,Matías, Herrada,Luis, Muñoz,Ana, Chávez,Camila, Jirón,Marcela
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2017
Materias:	Analgesic Opioid Emergency Medicine Inappropriate Prescribing Pharmacoepidemiology
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017001201565
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spelling	oai:scielo:S0034-988720170012015652018-04-06Prescripción de opioides al alta de un servicio de urgenciaMartínez,MatíasHerrada,LuisMuñoz,AnaChávez,CamilaJirón,Marcela Analgesic Opioid Emergency Medicine Inappropriate Prescribing Pharmacoepidemiology Background There is a worrisome increase in opioid prescription worldwide. Their use and overuse may cause adverse outcomes. Aim To determine incidence and characteristics of opioid prescription at discharge at an emergency department (ED). Material and Methods A prospective observational study in a random sample of adult patients attended at an ED of a teaching hospital. We reviewed medical records prescriptions for each patient to collect information about drugs prescribed, reason and medical indication of use (doses and duration). Results A total of 1,001 patients aged 50 ± 20 years (61% women) were studied. Seven percent of patients received an opioid prescription at discharge from the ED, mainly to treat renal and back pain. The dose, duration of treatments or both were incompletely described in 54% of prescriptions. The dose of tramadol in drops was incomplete in 96% of prescriptions. Conclusions Seven percent of patients discharged from an ED received an opioid prescription, mainly to treat non-oncological acute pain. The lack of information detected in the prescriptions affected quality, safety and effectiveness of the treatment, especially when pharmaceutical formulations were drops.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.145 n.12 20172017-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017001201565es10.4067/s0034-98872017001201565
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Analgesic Opioid Emergency Medicine Inappropriate Prescribing Pharmacoepidemiology
spellingShingle	Analgesic Opioid Emergency Medicine Inappropriate Prescribing Pharmacoepidemiology Martínez,Matías Herrada,Luis Muñoz,Ana Chávez,Camila Jirón,Marcela Prescripción de opioides al alta de un servicio de urgencia
description	Background There is a worrisome increase in opioid prescription worldwide. Their use and overuse may cause adverse outcomes. Aim To determine incidence and characteristics of opioid prescription at discharge at an emergency department (ED). Material and Methods A prospective observational study in a random sample of adult patients attended at an ED of a teaching hospital. We reviewed medical records prescriptions for each patient to collect information about drugs prescribed, reason and medical indication of use (doses and duration). Results A total of 1,001 patients aged 50 ± 20 years (61% women) were studied. Seven percent of patients received an opioid prescription at discharge from the ED, mainly to treat renal and back pain. The dose, duration of treatments or both were incompletely described in 54% of prescriptions. The dose of tramadol in drops was incomplete in 96% of prescriptions. Conclusions Seven percent of patients discharged from an ED received an opioid prescription, mainly to treat non-oncological acute pain. The lack of information detected in the prescriptions affected quality, safety and effectiveness of the treatment, especially when pharmaceutical formulations were drops.
author	Martínez,Matías Herrada,Luis Muñoz,Ana Chávez,Camila Jirón,Marcela
author_facet	Martínez,Matías Herrada,Luis Muñoz,Ana Chávez,Camila Jirón,Marcela
author_sort	Martínez,Matías
title	Prescripción de opioides al alta de un servicio de urgencia
title_short	Prescripción de opioides al alta de un servicio de urgencia
title_full	Prescripción de opioides al alta de un servicio de urgencia
title_fullStr	Prescripción de opioides al alta de un servicio de urgencia
title_full_unstemmed	Prescripción de opioides al alta de un servicio de urgencia
title_sort	prescripción de opioides al alta de un servicio de urgencia
publisher	Sociedad Médica de Santiago
publishDate	2017
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017001201565
work_keys_str_mv	AT martinezmatias prescripciondeopioidesalaltadeunserviciodeurgencia AT herradaluis prescripciondeopioidesalaltadeunserviciodeurgencia AT munozana prescripciondeopioidesalaltadeunserviciodeurgencia AT chavezcamila prescripciondeopioidesalaltadeunserviciodeurgencia AT jironmarcela prescripciondeopioidesalaltadeunserviciodeurgencia
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Prescripción de opioides al alta de un servicio de urgencia

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