PURPOSE: The study objectives are to describe the longitudinal trajectory of prescription opioid use among adolescents requiring a @entity130 admission and then identify predictors of sustained opioid use. METHODS: Randomly sampled adolescents (12-18  years) admitted to a Level I @entity130 center were surveyed. Follow-up assessments were obtained at 2, 5, and 12 months. Self-reported prescription opioid use, defined as "taking an opioid prescribed by a physician," was obtained at baseline and every follow-up time point. At the baseline interview, validated mental health measures and @entity158 scales were obtained as well as preinjury substance use. A fixed-effects mixed Poisson regression analysis was performed to predict prescription opioid use over time. RESULTS: A total of 120 adolescents (mean age 15.5  years [1.9 standard deviation], 75% male) completed the baseline interview with 98% follow-up at 12 months. At baseline, 7% of adolescents reported prescription opioid use before their @entity130 , with rates of prescription opioid use of 52% at 2 months, 13.3% at 5 months, and 12.5% at 12 months after discharge. After adjusting for demographic characteristics and injury severity score, those with sustained prescription opioid use were more likely to report preinjury marijuana use and higher baseline @entity158 scores. CONCLUSIONS: Approximately one in eight adolescents (12.5%) was using prescription opioids 12 months after injury hospitalization. Readily identifiable risk factors predicted sustained prescription opioid use, including preinjury marijuana use and baseline @entity158 score. Screening for substance use including marijuana at the time of injury could help identify @entity1 at risk for both substance use problems and sustained prescription opioid use.

Predictors of Sustained Prescription Opioid Use After Admission for XXXX in Adolescents.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity130 :: (MESH:D014947,Disease) :: ['Trauma']
