Annals for Hospitalists Inpatient Notes - Managing Acute Pain in the Hospital in the Face of the Opioid Crisis
Authors: Shoshana J. Herzig
Journal: Annals of Internal Medicine (2018)

Web Exclusives18 September 2018Annals for Hospitalists Inpatient Notes - Managing Acute Pain in the Hospital in the Face of the Opioid CrisisShoshana J. Herzig, MD, MPHShoshana J. Herzig, MD, MPHBeth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts (S.J.H.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M18-2295 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Pain combined with opioid use is ubiquitous among hospitalized patients: More than half of medical patients and nearly all surgical patients receive opioids during hospitalization. Recent studies have also demonstrated that prescribing opioids for acute pain often results in long-term use, with 15% of hospitalized older adults filling a new opioid prescription within 7 days of hospital discharge, and almost half of them fill another opioid prescription more than 90 days later. In addition, 1 study found that in the past 2 decades 75% of patients with heroin dependence seeking substance abuse treatment reported that their first encounter with an ...References1. Cicero TJ, Ellis MS, Surratt HL, Kurtz SP. The changing face of heroin use in the United States: a retrospective analysis of the past 50 years. JAMA Psychiatry. 2014;71:821-6. [PMID: 24871348] doi:10.1001/jamapsychiatry.2014.366 CrossrefMedlineGoogle Scholar2. Han B, Compton WM, Blanco C, Crane E, Lee J, Jones CM. Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 national survey on drug use and health. Ann Intern Med. 2017;167:293-301. [PMID: 28761945]. doi:10.7326/M17-0865 LinkGoogle Scholar3. Porter J, Jick H. Addiction rare in patients treated with narcotics [Letter]. N Engl J Med. 1980;302:123. [PMID: 7350425] CrossrefMedlineGoogle Scholar4. Herzig SJ, Mosher HJ, Calcaterra SL, Jena AB, Nuckols TK. Improving the safety of opioid use for acute noncancer pain in hospitalized adults: a consensus statement from the Society of Hospital Medicine. J Hosp Med. 2018;13:263-271. [PMID: 29624189] doi:10.12788/jhm.2980 CrossrefMedlineGoogle Scholar5. Chang AK, Bijur PE, Esses D, Barnaby DP, Baer J. Effect of a single dose of oral opioid and nonopioid analgesics on acute extremity pain in the emergency department: a randomized clinical trial. JAMA. 2017;318:1661-1667. [PMID: 29114833] doi:10.1001/jama.2017.16190 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts (S.J.H.)Grant Support: Dr. Herzig is funded by grant K23AG042459 from the National Institute on Aging. The funding agency had no involvement in any aspect of the manuscript. The content is solely the responsibility of the author and does not necessarily represent the official policy or position of the Beth Israel Deaconess Medical Center, Harvard Medical School, or the National Institute on Aging.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M18-2295.Corresponding Author: Shoshana J. Herzig, MD, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, CO-1309, Boston, MA 02215; e-mail, [email protected]harvard.edu. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAnnals for Hospitalists - 18 September 2018 David H. Wesorick and Vineet Chopra Managing Acute Pain in the Hospital in the Face of the Opioid Crisis Lianping Ti and Seonaid Nolan Managing Acute Pain in the Hospital in the Face of the Opioid Crisis Shoshana J. Herzig Metrics Cited byManaging Acute Pain in the Hospital in the Face of the Opioid CrisisLianping Ti, PhD and Seonaid Nolan, MD 18 September 2018Volume 169, Issue 6Page: HO2-HO3KeywordsAnalgesicsArthralgiaDrugsHospital medicineHospitalistsOpioid addictionOpioid use disorderOpioidsPain managementVital signs ePublished: 18 September 2018 Issue Published: 18 September 2018 Copyright & PermissionsCopyright © 2018 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...