Evidence map›Paper›PMID 34856489›Full record

ArticleJournal of critical care2022

Discharge prescribing of enteral opioids in opioid naïve patients following non-surgical intensive care: A retrospective cohort study.

Luis E Tollinche, Kenneth P Seier, Gloria Yang, Kay See Tan, Yekaterina D Tayban, Stephen M Pastores, Cindy B Yeoh, Kunal Karamchandani

Abstract read
In one paragraph

Article in Journal of critical care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Medication-related problems in critical care survivors: a systematic review.European journal of hospital pharmacy : science and practice · 2023
    Pooled it
  2. Article
  3. Observational
  4. Article
  5. Article
  6. 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

8 authors.

Luis E TollincheDepartment of Anesthesiology, MetroHealth Medical Center, USA. Electronic address: ltollinche@metrohealth.org.
Kenneth P SeierDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, USA. Electronic address: seierk@mskcc.org.
Gloria YangDepartment of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, USA. Electronic address: Yangg2@mskcc.org.
Kay See TanDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, USA. Electronic address: tank@mskcc.org.
Yekaterina D TaybanDepartment of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, USA. Electronic address: taybany@mskcc.org.
Stephen M PastoresDepartment of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, USA. Electronic address: pastores@mskcc.org.
Cindy B YeohDepartment of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, USA. Electronic address: yeohc@mskcc.org.
Kunal KaramchandaniDepartment of Anesthesiology and Pain Medicine, UT Southwestern Medical Center, USA. Electronic address: Kunal.Karamchandani@UTSouthwestern.edu.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Summer research experiences for medical students supervised by faculty mentorsR25CA020449 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Charlotte Eielson Ariyan · 1985 to 2026
$6.2M
NCI NIH HHS P30 CA008748NCI NIH HHS R25 CA020449
6 · The paper itself

Abstract

purposeTo estimate the incidence of new prescription of enteral opioids on hospital discharge in opioid naïve, non-surgical, critically ill patients and evaluate the risk factors associated with such occurrence.

methodsUsing hospital-wide and ICU databases, we retrospectively identified all patients (≥ 18 years old) who were admitted to the 20-bed adult ICU of Memorial Sloan Kettering Cancer Center (MSKCC) between July 1, 2015 and April 20, 2020. Patients' electronic medical records (EMR) were retrieved and patient demographics, peri-ICU admission data were captured and analyzed.

resultsDuring the study period, a total of 3755 opioid naïve patients were admitted to the ICU and 848 patients met the inclusion criteria. Among these, 346 (40.8%) patients were discharged with a new opioid prescription. Age at ICU admission, preadmission use of benzodiazepine, and antidepressants, a diagnosis of sepsis, and use of mechanical ventilation, antidepressants or, opioid infusion for greater than 4 h during the ICU stay, hospital length of stay (LOS), and days between ICU discharge and hospital discharge were independently associated with increased odds of a new opioid prescription.

conclusionsA significant proportion of opioid naïve non-surgical ICU survivors receive a new opioid prescription on hospital discharge.

Indexed as

Analgesics, OpioidPatient DischargeAdolescentAdultHumansIntensive Care UnitsRespiration, ArtificialRetrospective StudiesAnalgesics, OpioidAddictionAnalgesicsCohort studiesCritical IllnessOpioidPatient dischargeRisk factors

Identifiers

PMID34856489
PMCPMC9473333

What OpenQuestion holds

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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.