Frequency of Opioid Prescription Filling After Discharge from the Pediatric Emergency Department

Hrdy, Michael; Goyal, Monika K.; Badolato, Gia M.; Cohen, Joanna S.

doi:10.1016/j.jemermed.2022.01.002

Cited by 1 publication

(2 citation statements)

References 12 publications

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“…A 2022 study reported that 35% of opioid prescriptions for 1 to 18year-olds filled after discharge from a large tertiary pediatric ED were for patients diagnosed with SCD. 42 Chronic SCD pain (present on most days for at least the prior 6 mo) has been reported by more than 50% of adults, 15% of adolescents, and 10% of children diagnosed with SCD. 43,44 ASH recommendations for pharmacologic and nonpharmacologic management of SCD acute and chronic pain in children are often conditional or uncertain due to low levels of evidence-based research.…”

Section: Discussionmentioning

confidence: 99%

“…In both of our study cohorts, opioid prescribing started in the 1 to 9-year-old age group. A 2022 study reported that 35% of opioid prescriptions for 1 to 18-year-olds filled after discharge from a large tertiary pediatric ED were for patients diagnosed with SCD 42 . Chronic SCD pain (present on most days for at least the prior 6 mo) has been reported by more than 50% of adults, 15% of adolescents, and 10% of children diagnosed with SCD 43,44 .…”

Section: Discussionmentioning

confidence: 99%

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Opioid Use Among Children and Adults With Sickle Cell Disease in North Carolina Medicaid Enrollees in the Era of Opioid Harm Reduction

Crego,

Douglas,

Bonnabeau

et al. 2024

Journal of Pediatric Hematology/Oncology

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Adults and children with sickle cell disease (SCD) are predominantly African American, with pain-related health disparities. We examined opioid prescription fill patterns in adults and children with SCD and compared factors associated with fills in North Carolina Medicaid enrollees. Our retrospective cohort study included 955 enrollees diagnosed with SCD having at least one opioid fill. Associations were measured between two cohorts (12 and 24 mo of continuous enrollment) for the following characteristics: sex, age, enrollee residence, hydroxyurea adherence, comanagement, enrollment in Community Care North Carolina, prescription for short versus short and long-acting opioids, and emergency department reliance. The majority of individuals did not have an opioid claim over a 12 or 24-month period. Claims increased at ages 10 to 17, peaking at ages 18 to 30. The increased number of claims was associated with the following factors: increasing age, male, short versus long-acting opioids, and Medicaid enrollment for 24 versus 12 months. Community Care North Carolina enrollees in the 12-month cohort had higher opioid days of supply per month; the inverse was true of the 24-month cohort.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%