STUDY OBJECTIVE: Acute @entity158 complaints are commonly treated in the @entity341 ( @entity341 ). Short courses of opioids are presumed to be safe for acute @entity158 ; however, the risk of recurrent opioid use after receipt of an @entity341 opioid prescription is unknown. We describe the risk of recurrent opioid use in @entity1 receiving an opioid prescription from the @entity341 for an acute @entity158 . METHODS: This is a retrospective cohort study of all @entity1 discharged from an urban academic @entity341 with an acute @entity158 during a 5-month period. Clinical information was linked to data from Colorado's prescription drug monitoring program. We compared opioid-naive @entity1 (no opioid prescription during the year before the visit) who filled an opioid prescription or received a prescription but did not fill it to those who did not receive a prescription. The primary outcome was the rate of recurrent opioid use, defined as filling an opioid prescription within 60 days before or after the first anniversary of the @entity341 visit. RESULTS: Four thousand eight hundred one @entity1 were treated for an acute @entity158 ; of these, 52% were opioid naive and 48% received an opioid prescription. Among all opioid-naive @entity1 , 775 (31%) received and filled an opioid prescription, and 299 (12%) went on to recurrent use. For opioid-naive @entity1 who filled a prescription compared with those who did not receive a prescription, the adjusted odds ratio for recurrent use was 1.8 (95% confidence interval 1.3 to 2.3). For opioid-naive @entity1 who received a prescription but did not fill it compared with those who did not receive a prescription, the adjusted odds ratio for recurrent use was 0.8 (95% confidence interval 0.5 to 1.3). CONCLUSION: Opioid-naive @entity341 @entity1 prescribed opioids for acute @entity158 are at increased risk for additional opioid use at 1 year.

Association of XXXX opioid initiation with  recurrent opioid use.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity341 :: ('MESH:D004630', 'Disease') :: ['emergency department', 'ED'] @entity158 :: ('MESH:D010146', 'Disease') :: ['painful condition', 'pain']
@entity341 :: (MESH:D004630,Disease) :: ['emergency department']
