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Opioid Analgesics Administered for Pain in the Inpatient Pediatric Setting.
Walco, Gary A; Gove, Nancy; Phillips, Jennifer; Weisman, Steven J.
Afiliación
  • Walco GA; Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, Washington; Seattle Children's Hospital, Seattle, Washington. Electronic address: gary.walco@seattlechildrens.org.
  • Gove N; Seattle Children's Research Institute, Seattle, Washington.
  • Phillips J; Seattle Children's Hospital, Seattle, Washington.
  • Weisman SJ; Departments of Anesthesiology and Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin; Children's Hospital of Wisconsin, Milwaukee, Wisconsin.
J Pain ; 18(10): 1270-1276, 2017 10.
Article en En | MEDLINE | ID: mdl-28652205
This study aimed to describe utilization of opioid medications among infants, children, and adolescents on the inpatient setting. These data are needed to guide clinical trials and improve research methodologies, as well as to inform more about possible sources of opioid misuse in the United States. A retrospective chart review was conducted covering a span of 1 year, with a special focus on the prescription of opioids for long-term treatment of chronic pain. Opioid medications were prescribed for <5 days in most (75%) patients. Among those who were prescribed opioids for >14 days, the focus was often for reasons other than pain. These data indicate that models of chronic pain that may be utilized in clinical trials of longer-term opioid usage in pediatrics are exceedingly limited. In addition, the patterns of utilization indicate that opioid administration among pediatric inpatients is not a likely contributory factor to concerns about opioid misuse in the United States. PERSPECTIVE: This article presents data on the administration of opioids in a major children's hospital, with a special eye toward usage beyond treatment for short-term acute pain. These data are important to better inform discussions of research strategies for chronic pain, as well as concerns for misuse in the pediatric population.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Crónico / Analgésicos Opioides Tipo de estudio: Observational_studies / Prognostic_studies / Qualitative_research Límite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male / Newborn Idioma: En Revista: J Pain Asunto de la revista: NEUROLOGIA / PSICOFISIOLOGIA Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Crónico / Analgésicos Opioides Tipo de estudio: Observational_studies / Prognostic_studies / Qualitative_research Límite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male / Newborn Idioma: En Revista: J Pain Asunto de la revista: NEUROLOGIA / PSICOFISIOLOGIA Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos