ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2016
Predictors of Sustained Prescription Opioid Use After Admission for Trauma in Adolescents.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- Article
- Prolonged magnesium sulfate infusion as adjuvant analgesia in postoperative transplant patients in the pediatric ICU: Preliminary results of a feasibility study.Paediatric & neonatal pain · 2024Article
- Postoperative Opioid Prescription Practices at Discharge for Pediatric Orthopaedic Patients: A Systematic Review.Journal of the Pediatric Orthopaedic Society of North America · 2024Review
- Stepped collaborative care versus American College of Surgeons Committee on Trauma required screening and referral for posttraumatic stress disorder: Clinical trial protocol.Contemporary clinical trials · 2024Article
- User-Guided Enhancements to a Technology-Facilitated Resilience Program to Address Opioid Risks Following Traumatic Injury in Youth: Qualitative Interview Study.JMIR formative research · 2023Article
- Counseling for opioids prescribed at discharge of hospitalized adolescent trauma patients.Injury epidemiology · 2023Article
- Nurse Education and Hospital Readmissions for Children With and Without a Mental Health Condition.Hospital pediatrics · 2023Article
- E-cigarettes may serve as a gateway to conventional cigarettes and other addictive drugs.Advances in drug and alcohol research · 2023Review
- Perioperative Opioids, the Opioid Crisis, and the Anesthesiologist.Anesthesiology · 2022Article
- Variability in opioid pain medication prescribing for adolescent trauma patients in a sample of US pediatric trauma centers.Trauma surgery & acute care open · 2022Article
- Marijuana Use and Sexual Risk Behavior Among Young Black Men Who Have Sex with Men in California.Journal of racial and ethnic health disparities · 2021Article
- Anxiety and Mood Disorders Impacting Physician Opioid Prescribing in the Pediatric Hospital Setting.Journal of clinical psychology in medical settings · 2021Article
- Concurrent E-cigarette and marijuana use and health-risk behaviors among U.S. high school students.Preventive medicine · 2021Article
- Assessment of Prescription Opioid Medical Use and Misuse Among Parents and Their Adolescent Offspring in the US.JAMA network open · 2021Article
- Patterns of opioid use in adolescents receiving prescriptions: The role of psychological and pain factors.The American psychologist · 2020Article
- Contextual risk among adolescents receiving opioid prescriptions for acute pain in pediatric ambulatory care settings.Addictive behaviors · 2020Article
- Long-term prescription opioid utilization, substance use disorders, and opioid overdoses after adolescent trauma.The journal of trauma and acute care surgery · 2019Article
- Opioid-prescribing Patterns for Pediatric Patients in the United States.The Clinical journal of pain · 2019Article
- The use of opioids in low acuity pediatric trauma patients.PloS one · 2019Article
- Deliberative Prescription Opioid Misuse Among Adolescents andEmerging Adults: Opportunities for Targeted Interventions.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2018Article
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Authors and funding
6 authors.
Funding
Abstract
purposeThe study objectives are to describe the longitudinal trajectory of prescription opioid use among adolescents requiring a trauma admission and then identify predictors of sustained opioid use.
methodsRandomly sampled adolescents (12-18 years) admitted to a Level I trauma center were surveyed. Follow-up assessments were obtained at 2, 5, and 12 months. Self-reported prescription opioid use, defined as "taking an opioid prescribed by a physician," was obtained at baseline and every follow-up time point. At the baseline interview, validated mental health measures and pain scales were obtained as well as preinjury substance use. A fixed-effects mixed Poisson regression analysis was performed to predict prescription opioid use over time.
resultsA total of 120 adolescents (mean age 15.5 years [1.9 standard deviation], 75% male) completed the baseline interview with 98% follow-up at 12 months. At baseline, 7% of adolescents reported prescription opioid use before their trauma, with rates of prescription opioid use of 52% at 2 months, 13.3% at 5 months, and 12.5% at 12 months after discharge. After adjusting for demographic characteristics and injury severity score, those with sustained prescription opioid use were more likely to report preinjury marijuana use and higher baseline pain scores.
conclusionsApproximately one in eight adolescents (12.5%) was using prescription opioids 12 months after injury hospitalization. Readily identifiable risk factors predicted sustained prescription opioid use, including preinjury marijuana use and baseline pain score. Screening for substance use including marijuana at the time of injury could help identify patients at risk for both substance use problems and sustained prescription opioid use.
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