Evidence map›Paper›PMID 33224654›Full record

ArticleCureus2020

Recreational Cannabis Use and Risk of Prescription Opioid Overdose: Insights from Pediatric Inpatients.

Amaya Pankaj, Kosisochukwu Oraka, Emmanuelle J Caraballo-Rivera, Munazza Ahmad, Shaheer Zahid, Sadaf Munir, Gayathri Gurumurthy, Onose Okoeguale, Shikha Verma, Rikinkumar S Patel

Abstract read
In one paragraph

Article in Cureus, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

10 authors.

Amaya PankajPediatric Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.
Kosisochukwu OrakaMedicine, Vinnytsia National Medical University, Vinnytsia, UKR.
Emmanuelle J Caraballo-RiveraMedical Sciences, Ponce Health Sciences University, Ponce, PRI.
Munazza AhmadMedicine, Lahore Medical & Dental College, Lahore, PAK.
Shaheer ZahidPsychiatry, Saint James School of Medicine, Park Ridge, USA.
Sadaf MunirPsychiatry, Jersey Shore University Medical Center, Neptune, USA.
Gayathri GurumurthyInternal Medicine, Shadan Institute of Medical Sciences, Hyderabad, IND.
Onose OkoegualePsychiatry, Vinnytsia National Medical University, Vinnytsia, UKR.
Shikha VermaPsychiatry and Behavioral Sciences, Rogers Behavioral Health, Kenosha, USA.
Rikinkumar S PatelPsychiatry and Behavioral Sciences, Oklahoma State University, Tulsa, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives Our first goal is to evaluate the prevalence of hospital admissions for prescription opioid overdose (POD) in pediatric inpatients, and next goal is to measure the independent association between cannabis use disorders (CUD) and POD. Methods We used the nationwide inpatient sample (NIS) and included 27,444,239 pediatric inpatients (age ≤ 18 years), and 10,562 (0.04%) were managed primarily for POD. The odds ratio (OR) of the association of variables in POD inpatients was measured using the binomial logistic regression model that was adjusted for demographic confounders and psychiatric comorbidities. Results Adolescents have higher odds (OR 10.75, 95% CI 10.16-11.36) of POD-related hospitalization compared to children ≤ 12 years. Whites formed the significant proportion (67%), and those from low-income families (<50th percentile) had higher likelihood for POD-related hospitalization. The most prevalent psychiatric comorbidities were mood disorders (44.3%) and anxiety disorders (14.6%). Prevalent comorbid substance use disorders (SUDs) included cannabis (14.2%), tobacco (13.1%), and opioid (9.4%). A higher odds of association with POD-related hospitalizations were seen in pediatric inpatients with comorbid opioid (OR 8.79, 95% CI 8.08-9.56), tobacco (OR 1.58, 95% CI 1.47-1.70), and cannabis (OR 1.68, 95% CI 1.57-1.81) use disorders. Conclusion The prescription opioid is a bridge to opioid abuse/dependence, thereby increasing the risk of other SUDs like tobacco (by 58%) and cannabis (by 68%). Regulating the easy availability of prescription opioids and also improving the existing prescription trends are an essential way to reduce this problem. Finally, awareness and counseling are recommended strategies for harm reduction/rehabilitation among the pediatric population.

Indexed as

adolescentscannabis usemarijuana useopioid overdoseopioid use disordersprescription opioidsubstance use

Identifiers

PMID33224654
PMCPMC7676440

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Registered trials

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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.