Identification, Management, and Transition of Care for Patients With Opioid Use Disorder in the Emergency Department - 19/09/18
, Isabel A. Barata, MD, MBA b, Eric Cioè-Peña, MD, MPH b, Stephen Y. Liang, MD, MPHS c, Eric Ketcham, MD, MBA d, Wendy Macias-Konstantopoulos, MD, MPH e, Shawn A. Ryan, MD, MBA f, Mark Stavros, MD g, Lauren K. Whiteside, MD, MS aAbstract |
Because of a soaring number of opioid-related deaths during the past decade, opioid use disorder has become a prominent issue in both the scientific literature and lay press. Although most of the focus within the emergency medicine community has been on opioid prescribing—specifically, on reducing the incidence of opioid prescribing and examining alternative pain treatment—interest is heightening in identifying and managing patients with opioid use disorder in an effective and evidence-based manner. In this clinical review article, we examine current strategies for identifying patients with opioid use disorder, the treatment of patients with acute opioid withdrawal syndrome, approaches to medication-assisted therapy, and the transition of patients with opioid use disorder from the emergency department to outpatient services.
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| Supervising editor: Donald M. Yealy, MD |
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| Authorship: All authors attest to meeting the four ICMJE.org authorship criteria: (1) Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work; AND (2) Drafting the work or revising it critically for important intellectual content; AND (3) Final approval of the version to be published; AND (4) Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. |
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| Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article as per ICMJE conflict of interest guidelines (see www.icmje.org/). The authors have stated that no such relationships exist. Dr. Whiteside’s institution has received grant money from the National Institute of Drug Abuse, City of Seattle, Department of Justice, and the Laura and John Arnold Foundation for investigator-initiated research. |
Vol 72 - N° 4
P. 420-431 - octobre 2018 Retour au numéro
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