Effect of CDC Opioid-Prescribing Guidelines in a Community Hospital Emergency Department

Details

• Personal Author:
  Green-McKenzie J ; Gumidyala L ; Savul SA ; Shofer FS
• Description:
  The United States continues to battle the addiction and overdose deaths with the opioid epidemic. Prescription opioids are responsible for more than half of these deaths. This before-after study was conducted to assess the effect of the Centers for Disease Control and Prevention's (CDC's) opioid prescription guidelines. Data were abstracted from electronic health records of adult patients presenting with low back pain seen in the emergency department during the study period. SAS statistical software was used to compare opioid prescription practices before and after the intervention. A total of 1006 patients were included in the analysis. Opioid prescriptions decreased by 11% post-CDC guidelines (45% vs 34%). Of patients receiving opioids (n = 383), there was a 6% reduction in the number of days (<5 days) for which opioids were prescribed post-CDC guidelines (14% vs 8%). CDC guidelines on opioid prescribing were associated with a significant reduction in opioid prescribing in terms of both quantity and length of time prescribed. Public health policies as guidelines may positively influence provider decision making and behaviors. [Description provided by NIOSH]
• Subjects:
  Emergency Responders Musculoskeletal System Occupational Health Safety
• Keywords:
  Author Keywords: CDC Guidelines Electronic Health Records Emergency Care Guidelines Low Back Pain Opioid Crisis Opioid Prescription Practices Opioids Policy Prescription Drugs
• ISSN:
  1078-4659
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 3 ; Pennsylvania
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  27
• NIOSHTIC Number:
  nn:20068121
• Citation:
  J Public Health Manag Pract 2021 May/Jun; 27(Suppl 3):S186-S190
• Contact Point Address:
  Lalitha Gumidyala, MD, MPH, Corporate Health Center at Capital Health, Ste # 220, 1401 Whitehorse-Mercerville Rd, Hamilton, NJ 08619
• Email:
  lgumidyala@capitalhealth.org
• Federal Fiscal Year:
  2021
• Performing Organization:
  University of Pennsylvania, Philadelphia
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Journal of Public Health Management and Practice
• Supplement:
  3
• End Date:
  20290630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:e558a2c7a1cb655fe0df692a1ca4460f16a7aac7e3c68491ee7fbeb3389e83e737a3385364624695a55346d39e85e1cb9e87b4c2551c6e6c250fae378940fdfb
• Download URL:
  https://stacks.cdc.gov/view/cdc/230336/cdc_230336_DS1.pdf
• File Type:
  [PDF - 206.37 KB ]