Evidence map›Paper›PMID 31251152›Full record

Observational studyJournal of hospital medicine2019

Potentially Inappropriate Use of Intravenous Opioids in Hospitalized Patients.

Amber B Moore, Scott Navarrett, Shoshana J Herzig

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of hospital medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 38% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Amber B MooreDivision of General Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Scott NavarrettDivision of General Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Shoshana J HerzigDivision of General Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Harvard University · USBeth Israel Deaconess Medical Center · US

Funding

Characterizing Opioid-related Adverse Events in Older Adults After Hospital DischargeR01HS026215 · AHRQ · BETH ISRAEL DEACONESS MEDICAL CENTER · PI HERZIG, SHOSHANA J · 2018 to 2022
$1.8M
Improving Use of Sedating Medications in Hospitalized Older AdultsK23AG042459 · NIA · BETH ISRAEL DEACONESS MEDICAL CENTER · PI HERZIG, SHOSHANA J · 2013 to 2017
$783k
AHRQ HHS R01 HS026215NIA NIH HHS K23 AG042459
6 · The paper itself

Abstract

Physicians have the potential to decrease opioid misuse through appropriate prescribing practices. We examined the frequency of potentially inappropriate intravenous (IV) opioid use (where oral use would have been more appropriate) in patients hospitalized at a tertiary medical center. We excluded patients with cancer, patients receiving comfort care, and patients with gastrointestinal dysfunction. On the basis of recent guidance from the Society of Hospital Medicine, we defined IV doses as potentially inappropriate if administered more than 24 hours after an initial IV dose in patients who did not have nil per os status. Of the 200 patients studied, 31% were administered potentially inappropriate IV opioids at least once during their hospitalization, and 33% of all IV doses administered were potentially inappropriate. Given the numerous advantages of oral over IV opioids, this study suggests significant potential for improving prescribing practices to decrease risk of addiction, costs, and complications, ultimately improving the value of care provided.

Indexed as

Administration, IntravenousPractice Patterns, Physicians'Administration, OralAdultAgedAnalgesics, OpioidFemaleHospitalizationHumansInappropriate PrescribingInpatientsMaleMiddle AgedAnalgesics, Opioid

Identifiers

PMID31251152
PMCPMC6827539
OpenAlexW2954617708

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.