Journal article
Opioid abuse surveillance in patients with endocarditis
Research in social and administrative pharmacy, Vol.17(4), pp.805-807
04/01/2021
DOI: 10.1016/j.sapharm.2020.07.014
PMID: 32814665
Abstract
Background: Opioid abuse is a significant cause of morbidity and mortality in the United States, and injection drug use (IDU) is a common form of opioid abuse. IDU is a major risk factor for infections including infective endocarditis (IE).
Objectives: To determine the prevalence of opioid abuse among patients with IE in both patient problem lists and diagnostic codes and describe underlying patient characteristics.
Methods: A retrospective chart review from 1-1-2010 to 11-19-2018 of a large academic medical center's patients with documented IE was performed. Demographic, comorbidity, opioid prescription data and records of drug abuse in both the patient's problem list and ICD9/10 codes were recorded.
Results: Of the 796 patients with documented IE, 105 patients (13.2%) had opioid abuse or related IDU in their problem list, but only 22 received an ICD-9/10 code associated with drug abuse. IE patients with opioid abuse were generally younger (43.6 vs 61.7 years [P < 0.001]), had fewer chronic comorbidities, and were prescribed opioids more often (86.7% vs 53.8% [P < 0.001]).
Conclusions: Opioid abuse and IDU are commonly recorded in the problem list of patients with IE, but opioid abuse is frequently not listed as a diagnosis in administrative billing codes.
Details
- Title: Subtitle
- Opioid abuse surveillance in patients with endocarditis
- Creators
- Andrew J. Jatis - University of IowaShelby R. Stafford - University of IowaReghan O. Coyle - University of IowaNathan M. Karlan - University of IowaAaron C. Miller - University of IowaLinnea A. Polgreen - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Research in social and administrative pharmacy, Vol.17(4), pp.805-807
- Publisher
- Elsevier
- DOI
- 10.1016/j.sapharm.2020.07.014
- PMID
- 32814665
- ISSN
- 1551-7411
- eISSN
- 1934-8150
- Number of pages
- 3
- Grant note
- DOI: 10.13039/100008893, name: University of Iowa
- Language
- English
- Date published
- 04/01/2021
- Academic Unit
- Infectious Diseases; Economics; Pharmacy Practice and Science; Internal Medicine
- Record Identifier
- 9984359956702771
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