Prescripción de opioides al alta de un servicio de urgencia
Author
dc.contributor.author
Martínez, Matías
Author
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Herrada Herrada, Luis
Author
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Muñoz, Ana
Author
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Chávez, Camila
Author
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Jirón Aliste, Marcela
Admission date
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2018-05-14T16:54:59Z
Available date
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2018-05-14T16:54:59Z
Publication date
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2017
Cita de ítem
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Rev Med Chile 2017; 145: 1565-1568
es_ES
Identifier
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0717-6163
Identifier
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https://repositorio.uchile.cl/handle/2250/147701
Abstract
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Background: There is a worrisome increase in opioid prescription worldwide.
Their use and overuse may cause adverse outcomes. Aim: To determine
incidence and characteristics of opioid prescription at discharge at an emergency
department (ED). Material and Methods: A prospective observational study in
a random sample of adult patients attended at an ED of a teaching hospital. We
reviewed medical records prescriptions for each patient to collect information
about drugs prescribed, reason and medical indication of use (doses and duration).
Results: A total of 1,001 patients aged 50 ± 20 years (61% women) were
studied. Seven percent of patients received an opioid prescription at discharge
from the ED, mainly to treat renal and back pain. The dose, duration of treatments
or both were incompletely described in 54% of prescriptions. The dose of
tramadol in drops was incomplete in 96% of prescriptions. Conclusions: Seven
percent of patients discharged from an ED received an opioid prescription,
mainly to treat non-oncological acute pain. The lack of information detected
in the prescriptions affected quality, safety and effectiveness of the treatment,
especially when pharmaceutical formulations were drops.