The accuracy of self‐reported drug ingestion histories in emergency department patients

Monte, Andrew A.; Heard, Kennon; Hoppe, Jason; Vasiliou, Vasilis; Gonzalez, Frank J.

doi:10.1002/jcph.368

Cited by 36 publications

(21 citation statements)

References 28 publications

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“…Accuracy of data is limited to honesty of patient reporting. This is known to be problematic in terms of important variables such as illicit drug use, analgesic consumption, and presence of mental health conditions (Monte, Heard, Hoppe, Vasiliou, & Gonzalez, 2015). We cannot exclude the possibility that some patients in the study had drug-seeking behavior, which could influence pain satisfaction scores.…”

Section: Limitationsmentioning

confidence: 95%

Predictors of Patient Satisfaction With Pain Management in the Emergency Department

Fallon

Fung

Rubal-Peace

et al. 2016

Advanced Emergency Nursing Journal

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To identify predictors of patient satisfaction with pain control measured after emergency department (ED) discharge. This was a prospective, cross-sectional study conducted in an academic, urban ED in the United States. Adult patients with a pain-related complaint were interviewed via telephone within 72 hr of discharge from the ED. A standardized questionnaire was used to obtain demographic and clinical information. The primary outcome of interest was patient satisfaction with pain management in the ED measured using the following question: "How often was your pain well controlled in the ED?" (0-10 scale; 0 = never, 10 = always). Linear regression analyses were used to identify predictors of pain satisfaction. The study included 75 patients. The mean age of patients was 43 ± 18 years, and the majority of patients were female (n = 47; 63%). There were 24 patients (32%) who had chronic pain conditions, 23 (31%) with depression, and 2 patients who admitted to using heroin. In the multivariate regression analysis, patient perception of enough pain medication provision (coefficient = 2.81; 95% CI [1.35, 4.26]; p < 0.001), staff helpfulness (coefficient = 0.35; 95% CI [0.10, 0.59]; p = 0.006), report of generalized pain (coefficient = -1.62; 95% CI [-2.87, -0.36]; p = 0.013), and lowest pain score achieved in the ED (coefficient = -0.30; 95% CI [-0.53, -0.04]; p = 0.021) was significantly associated with patient satisfaction (model R = 0.57). Patient perception of enough pain medication provision, staff helpfulness, lowest pain scores achieved, and patient report of generalized pain were associated with satisfaction with pain management in the ED.

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Section: Limitationsmentioning

confidence: 95%

Predictors of Patient Satisfaction With Pain Management in the Emergency Department

Fallon

Fung

Rubal-Peace

et al. 2016

Advanced Emergency Nursing Journal

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“…Urine toxicology can be used to verify a patient's self-reported drug ingestion history (53). However, urine toxicology of patients on long-term OPRs is not a reliable strategy for identifying opioid addiction.…”

Section: Secondary Preventionmentioning

confidence: 99%

The Prescription Opioid and Heroin Crisis: A Public Health Approach to an Epidemic of Addiction

Kolodny

Courtwright

Hwang

et al. 2015

Annu. Rev. Public Health

1,192

874

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Public health authorities have described, with growing alarm, an unprecedented increase in morbidity and mortality associated with use of opioid pain relievers (OPRs). Efforts to address the opioid crisis have focused mainly on reducing nonmedical OPR use. Too often overlooked, however, is the need for preventing and treating opioid addiction, which occurs in both medical and nonmedical OPR users. Overprescribing of OPRs has led to a sharp increase in the prevalence of opioid addiction, which in turn has been associated with a rise in overdose deaths and heroin use. A multifaceted public health approach that utilizes primary, secondary, and tertiary opioid addiction prevention strategies is required to effectively reduce opioid-related morbidity and mortality. We describe the scope of this public health crisis, its historical context, contributing factors, and lines of evidence indicating the role of addiction in exacerbating morbidity and mortality, and we provide a framework for interventions to address the epidemic of opioid addiction.

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“…2 It is possible that reporting bias in the era after legalization has confounded these findings; however, we previously found that the reporting on marijuana use among Colorado residents during the medical marijuana period was reliable. 3 …”

Section: To the Editormentioning

confidence: 99%

Marijuana Tourism and Emergency Department Visits in Colorado

et al. 2016

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The accuracy of self‐reported drug ingestion histories in emergency department patients

Cited by 36 publications

References 28 publications

Predictors of Patient Satisfaction With Pain Management in the Emergency Department

Predictors of Patient Satisfaction With Pain Management in the Emergency Department

The Prescription Opioid and Heroin Crisis: A Public Health Approach to an Epidemic of Addiction

Marijuana Tourism and Emergency Department Visits in Colorado

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