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Prescription of opioid analgesics for nontraumatic dental conditions in emergency departments.
Drug Alcohol Depend. 2015 Nov 01; 156:261-266.DA

Abstract

BACKGROUND

Opioid analgesics prescribed for nontraumatic dental conditions (NTDCs) by emergency physicians continue to receive attention because of the associated potential for misuse, abuse and addiction. This study examined rates of prescription of opioid analgesics and types of opioid analgesics prescribed for NTDC visits in U.S. emergency departments.

METHODS

Data from the National Hospital Ambulatory Medical Care Survey from 2007 to 2010 were analyzed. Descriptive statistics and logistic regression analysis were performed and adjusted for the survey design.

RESULTS

NTDCs made up 1.7% of all ED visits from 2007 to 2010. The prescription of opioid analgesics was 50.3% for NTDC and 14.8% for non-NTDC visits. The overall rate of opioid analgesics prescribed for NTDCs remained fairly stable from 2007 through 2010. Prescription of opioids was highest among patients aged 19-33 years (56.8%), self-paying (57.1%), and non-Hispanic Whites (53.2%). The probability of being prescribed hydrocodone was highest among uninsured patients (68.7%) and for oxycodone, it was highest among private insurance patients (33.6%). Compared to 34-52 year olds, children 0-4 years were significantly more likely to be prescribed codeine and less likely to be prescribed oxycodone. Compared to non-Hispanic Whites, non-Hispanic Blacks had significantly higher odds of been prescribed codeine and somewhat lower odds of been prescribed oxycodone, but it was not statistically significant.

CONCLUSIONS

There was no significant change in the rates of opioid analgesics prescribed over time for NTDC visits to EDs. Age, payer type and race/ethnicity were significant predictors for the prescription of different opioid analgesics by emergency physicians for NTDC visits.

Authors+Show Affiliations

Department of Clinical Services, School of Dentistry, P.O. Box 1881, Marquette University, Milwaukee, WI 53201, United States. Electronic address: christopher.okunseri@marquette.edu.Department of Foundational Sciences, School of Dental Medicine, East Carolina University, Greenville, NC 27834, United States; Department of Pharmacology and Toxicology, Brody School of Medicine, East Carolina University, Greenville, NC 27834, United States.Department of Foundational Sciences, School of Dental Medicine, East Carolina University, Greenville, NC 27834, United States.Department of Clinical Services, School of Dentistry, P.O. Box 1881, Marquette University, Milwaukee, WI 53201, United States.Division of Biostatistics, Institute of Health and Society, Medical College of Wisconsin, 8701 Watertown Plank Rd., Milwaukee, WI 53226, United States.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26471416

Citation

Okunseri, Christopher, et al. "Prescription of Opioid Analgesics for Nontraumatic Dental Conditions in Emergency Departments." Drug and Alcohol Dependence, vol. 156, 2015, pp. 261-266.
Okunseri C, Dionne RA, Gordon SM, et al. Prescription of opioid analgesics for nontraumatic dental conditions in emergency departments. Drug Alcohol Depend. 2015;156:261-266.
Okunseri, C., Dionne, R. A., Gordon, S. M., Okunseri, E., & Szabo, A. (2015). Prescription of opioid analgesics for nontraumatic dental conditions in emergency departments. Drug and Alcohol Dependence, 156, 261-266. https://doi.org/10.1016/j.drugalcdep.2015.09.023
Okunseri C, et al. Prescription of Opioid Analgesics for Nontraumatic Dental Conditions in Emergency Departments. Drug Alcohol Depend. 2015 Nov 1;156:261-266. PubMed PMID: 26471416.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prescription of opioid analgesics for nontraumatic dental conditions in emergency departments. AU - Okunseri,Christopher, AU - Dionne,Raymond A, AU - Gordon,Sharon M, AU - Okunseri,Elaye, AU - Szabo,Aniko, Y1 - 2015/09/28/ PY - 2015/08/09/received PY - 2015/09/16/revised PY - 2015/09/17/accepted PY - 2015/10/17/entrez PY - 2015/10/17/pubmed PY - 2016/6/21/medline KW - Dental care KW - Emergency departments KW - Opioid analgesic drugs SP - 261 EP - 266 JF - Drug and alcohol dependence JO - Drug Alcohol Depend VL - 156 N2 - BACKGROUND: Opioid analgesics prescribed for nontraumatic dental conditions (NTDCs) by emergency physicians continue to receive attention because of the associated potential for misuse, abuse and addiction. This study examined rates of prescription of opioid analgesics and types of opioid analgesics prescribed for NTDC visits in U.S. emergency departments. METHODS: Data from the National Hospital Ambulatory Medical Care Survey from 2007 to 2010 were analyzed. Descriptive statistics and logistic regression analysis were performed and adjusted for the survey design. RESULTS: NTDCs made up 1.7% of all ED visits from 2007 to 2010. The prescription of opioid analgesics was 50.3% for NTDC and 14.8% for non-NTDC visits. The overall rate of opioid analgesics prescribed for NTDCs remained fairly stable from 2007 through 2010. Prescription of opioids was highest among patients aged 19-33 years (56.8%), self-paying (57.1%), and non-Hispanic Whites (53.2%). The probability of being prescribed hydrocodone was highest among uninsured patients (68.7%) and for oxycodone, it was highest among private insurance patients (33.6%). Compared to 34-52 year olds, children 0-4 years were significantly more likely to be prescribed codeine and less likely to be prescribed oxycodone. Compared to non-Hispanic Whites, non-Hispanic Blacks had significantly higher odds of been prescribed codeine and somewhat lower odds of been prescribed oxycodone, but it was not statistically significant. CONCLUSIONS: There was no significant change in the rates of opioid analgesics prescribed over time for NTDC visits to EDs. Age, payer type and race/ethnicity were significant predictors for the prescription of different opioid analgesics by emergency physicians for NTDC visits. SN - 1879-0046 UR - https://www.unboundmedicine.com/medline/citation/26471416/Prescription_of_opioid_analgesics_for_nontraumatic_dental_conditions_in_emergency_departments_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0376-8716(15)01673-7 DB - PRIME DP - Unbound Medicine ER -