Evidence map›Paper›PMID 35558645›Full record

ArticleTrauma surgery & acute care open2022

Variability in opioid pain medication prescribing for adolescent trauma patients in a sample of US pediatric trauma centers.

Michael J Mello, Janette Baird, Julie R Bromberg, Anthony Spirito, Mark R Zonfrillo, Lois K Lee, Emily R Christison-Lagay, Stephanie M Ruest, Charles W Pruitt, Karla A Lawson and 7 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Trauma surgery & acute care open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03297060 (Implementing Alcohol Misuse SBIRT in a National Cohort of Pediatric Trauma Centers), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 32% 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.

NCT03297060 nacompletednot on this map

Implementing Alcohol Misuse SBIRT in a National Cohort of Pediatric Trauma Centers

TypeinterventionalSponsorRhode Island HospitalRan2018 to 2024Enrolled430ConditionsAlcohol DrinkingArmsSSL Implementation Strategy
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Safety Assessment of Perioperative Pain Medications for Children: Variation in Opioid Prescribing at Discharge.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026
    Article
  3. Article
  4. 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

17 authors at 11 institutions in 1 country.

Michael J MelloEmergency Medicine, Brown University, Providence, Rhode Island, USA.ORCID 0000-0001-9683-6889
Janette BairdEmergency Medicine, Brown University, Providence, Rhode Island, USA.
Julie R BrombergEmergency Medicine, Brown University, Providence, Rhode Island, USA.ORCID 0000-0003-3138-4521
Anthony SpiritoPsychiatry and Human Behavior, Brown University, Providence, Rhode Island, USA.
Mark R ZonfrilloEmergency Medicine, Brown University, Providence, Rhode Island, USA.
Lois K LeeEmergency Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.
Emily R Christison-LagaySurgery, Yale-New Haven Hospital, New Haven, Connecticut, USA.
Stephanie M RuestEmergency Medicine, Brown University, Providence, Rhode Island, USA.
Charles W PruittPediatrics, Primary Children's Hospital, Salt Lake City, Utah, USA.
Karla A LawsonDell Children's Trauma and Injury Research Center, Austin, Texas, USA.
Andrew W KiraguPediatrics, Hennepin County Medical Center, Minneapolis, Minnesota, USA.
Isam NasrSurgery, Johns Hopkins Children's Center, Baltimore, Maryland, USA.
Jeremy T AidlenPediatric Surgery, UMass Memorial Medical Center, Worcester, Massachusetts, USA.
Beth E EbelPediatrics, Harborview Medical Center, Seattle, Washington, USA.
R Todd MaxsonPediatric Surgery, Arkansas Children's Hospital, Little Rock, Arkansas, USA.
Kelli ScottBehavioral and Social Sciences, Brown University School of Public Health, Providence, Rhode Island, USA.ORCID 0000-0002-4511-8825
Sara J BeckerBehavioral and Social Sciences, Brown University School of Public Health, Providence, Rhode Island, USA.
Brown University · USProvidence College · USArkansas Children's Hospital · USBoston Children's Hospital · USDell Children's Medical Center of Central Texas · USHarborview Medical Center · USHennepin County Medical Center · USJohns Hopkins University · USPrimary Children's Hospital · USUMass Memorial Medical Center · USYale New Haven Hospital · US

Funding

IAMSBIRT: Implementing Alcohol Misuse SBIRT in a National Cohort of Pediatric Trauma CentersR01AA025914 · NIAAA · RHODE ISLAND HOSPITAL · PI MELLO, MICHAEL J · 2017 to 2021
$3.7M
Pilot Implementation of Measurement-Based Care in Community Opioid Treatment ProgramsK23DA050729 · NIDA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SCOTT, KELLI · 2021 to 2025
$946k
NIAAA NIH HHS R01 AA025914NIDA NIH HHS K23 DA050729
6 · The paper itself

Abstract

Objectives: The primary objective of this study was to examine opioid prescription frequency and identify differences across a national cohort of pediatric trauma centers in rates of prescribing opioids to injured adolescents at discharge. Methods: This was a retrospective observational study using electronic health records of injured adolescents (12-17 years) admitted to one of 10 pediatric trauma centers. Results: Of the 1345 electronic health records abstracted, 720 (53.5%, 95% CI 50.8 to 56.2) patients received opioid prescriptions at discharge with variability across sites (28.6%-72%). There was no association between patient factors and frequency of prescribing opioids. Center's trauma volume was significantly positively correlated with a higher rate of opioid prescribing at discharge (r=0.92, p=0.001). There was no significant difference between the frequency of opioid prescriptions at discharge among alcohol and other drugs (AOD)-positive patients (53.8%) compared with AOD-negative patients (53.5%). Conclusions: Across a sample of 10 pediatric trauma centers, just over half of adolescent trauma patients received an opioid prescription at discharge. Prescribing rates were similar for adolescent patients screening positive for AOD use and those screening negative. The only factor associated with a higher frequency of prescribing was trauma center volume. Consensus and dissemination of outpatient pain management best practices for adolescent trauma patients is warranted. Level of evidence: III-prognostic. Trial registration number: NCT03297060.

Indexed as

analgesics, opioidpediatrics

Identifiers

PMID35558645
PMCPMC9045113
OpenAlexW4229081442

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.