{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T19:02:09Z","timestamp":1760122929656,"version":"3.40.4"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec>\n            <jats:title>Objectives<\/jats:title>\n            <jats:p>Despite Centers for Disease Control and Prevention guidelines on adult opioid prescribing, there is a paucity of evidence and no guidelines to inform opioid prescribing in pediatrics. To develop guidelines on pediatric prescribing, it is imperative to evaluate current practice on opioid use. The objectives were to describe prescribing patterns of opioids for acute pain at a children's hospital and to compare clinical characteristics of patients who received less or greater than 3 days.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>A retrospective review of oral opioid analgesics prescribed for acute pain at a tertiary care children's hospital emergency department and urgent care from January 1, 2017, to December 31, 2017. Patients younger than 22 years who received an opioid prescription upon discharge were included. Patients with hematology\/oncology or chronic pain diagnosis were excluded.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Opioids were prescribed for a median of 2.2 days (interquartile range, 1.4\u20133.0 days). Most opioids were prescribed for \u22643 days (1326; 79.3%), and there were 44 (2.6%) prescriptions for &gt;7 days. Twenty-two opioid formulations were prescribed. Single-ingredient oxycodone was the most commonly prescribed (877; 52.5%); there were 724 (43.3%) acetaminophen combination products. Common diagnoses were orthopedic (973; 58.2%), surgery\/burn\/trauma (195; 11.7%), and ear\/nose\/throat (143; 8.6%). Patients who received &gt;3 days of opioids were younger (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001), and there was no differences in sex, ethnicity, insurance, or provider qualifications.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Overall, prescribing patterns for the duration of opioid analgesics were \u22643 days, with a median of 2 days. There was a large range of days prescribed, with variations in prescribing characteristics among patients and providers.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000001909","type":"journal-article","created":{"date-parts":[[2019,11,4]],"date-time":"2019-11-04T17:43:30Z","timestamp":1572889410000},"page":"e841-e845","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Prescribing Patterns of Oral Opioid Analgesic for Acute Pain at a Tertiary Care Children's Hospital Emergency Departments and Urgent Cares"],"prefix":"10.1097","volume":"37","author":[{"given":"George Sam","family":"Wang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Reese","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leigh Anne","family":"Bakel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Leonard","sequence":"additional","affiliation":[{"name":"Section of Emergency Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan","family":"Bielsky","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley","family":"Reid","sequence":"additional","affiliation":[{"name":"Department of Pharmacy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tod","family":"Bos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Nickels","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lalit","family":"Bajaj","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2019,11,5]]},"reference":[{"key":"bib1-20250504","article-title":"Prescription opioid exposures among children and adolescents in the United States: 2000\u20132015","volume":"139","year":"2017","journal-title":"Pediatrics"},{"key":"bib3-20250504","doi-asserted-by":"crossref","first-page":"1195","DOI":"10.1001\/jamapediatrics.2016.2154","article-title":"National trends in hospitalizations for opioid poisonings among children and adolescents, 1997\u20132012","volume":"170","year":"2016","journal-title":"JAMA Pediatr"},{"key":"bib4-20250504","doi-asserted-by":"crossref","first-page":"265","DOI":"10.15585\/mmwr.mm6610a1","article-title":"Characteristics of initial prescription episodes and likelihood of long-term opioid use\u2014United States, 2006\u20132015","volume":"66","year":"2017","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"bib5-20250504","doi-asserted-by":"crossref","first-page":"1624","DOI":"10.1001\/jama.2016.1464","article-title":"CDC guideline for prescribing opioids for chronic pain\u2014United States, 2016","volume":"315","year":"2016","journal-title":"JAMA"},{"key":"bib6-20250504","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1097\/PEC.0000000000000102","article-title":"Trends in prescription opioid use in pediatric emergency department patients","volume":"30","year":"2014","journal-title":"Pediatr Emerg Care"},{"key":"bib8-20250504","doi-asserted-by":"crossref","first-page":"e1169","DOI":"10.1542\/peds.2015-1364","article-title":"Prescription opioids in adolescence and future opioid misuse","volume":"136","year":"2015","journal-title":"Pediatrics"},{"key":"bib9-20250504","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1097\/PEC.0000000000001239","article-title":"Opioid prescribing practices in pediatric acute care settings","volume":"35","year":"2019","journal-title":"Pediatr Emerg Care"},{"key":"bib11-20250504","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1001\/jamapediatrics.2014.3583","article-title":"Leftover prescription opioids after minor procedures","volume":"169","year":"2015","journal-title":"JAMA Pediatr"},{"key":"bib12-20250504","doi-asserted-by":"crossref","first-page":"1358","DOI":"10.1503\/cmaj.140907","article-title":"Oral administration of morphine versus ibuprofen to manage postfracture pain in children: a randomized trial","volume":"186","year":"2014","journal-title":"CMAJ"},{"key":"bib13-20250504","article-title":"Persistent opioid use among pediatric patients after surgery","volume":"141","year":"2018","journal-title":"Pediatrics"},{"key":"bib14-20250504","doi-asserted-by":"crossref","first-page":"e007","DOI":"10.1097\/pq9.0000000000000007","article-title":"Potential acetaminophen and opioid overdoses in young children prescribed combination acetaminophen","volume":"1","year":"2016","journal-title":"Pediatr Qual Saf"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000001909","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T20:05:12Z","timestamp":1746389112000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000001909"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11,5]]},"references-count":11,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000001909","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"type":"electronic","value":"1535-1815"},{"type":"print","value":"0749-5161"}],"subject":[],"published":{"date-parts":[[2019,11,5]]}}}