Association of opioid exposure during intensive care unit stays with post-discharge opioid use: A retrospective study and literature review.
J Opioid Manag 2021;
17:511-516. [PMID:
34904699 DOI:
10.5055/jom.2021.0685]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVE
To evaluate whether pain management strategies within intensive care unit (ICU) settings contribute to chronic opioid use upon hospital discharge in opioid-naive patients requiring invasive mechanical ventilation.
DESIGN
A retrospective, observational study.
SETTING
An 18-bed mixed ICU at a community teaching hospital located in Brooklyn, New York.
PARTICIPANTS
This study included mechanically ventilated patients requiring continuous opioid infusion from April 25, 2017 to May 16, 2019. Patients were excluded if they received chronic opioid therapy at home or expired during this hospital admission. Eligible patients were identified using an electronic health record data query.
MAIN OUTCOME MEASURE(S)
The proportion of ICU patients who continued to require opioids upon ICU and hospital discharge.
RESULTS
A total of 196 ICU patients were included in this study. Of these, 22 patients were transferred to a regular floor while receiving a fentanyl transdermal patch. However, the fentanyl patch treatment was continued only for three patients (2 percent) at hospital discharge.
CONCLUSIONS
This retrospective study suggested that high-dose use of opioids in mechanically ventilated, opioid-naive ICU patients was not associated with continued opioid use upon hospital discharge.
Collapse