{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T11:57:04Z","timestamp":1775822224251,"version":"3.50.1"},"reference-count":50,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T00:00:00Z","timestamp":1709078400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K01AG065414"],"award-info":[{"award-number":["K01AG065414"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Opioids are recommended for pain management in patients being cared for and transported by emergency medical services, but no specific guidelines exist for older adults with fall\u2010related injury. Prior research suggests prehospital opioid administration can effectively manage pain in older adults, but less is known about safety in this population. We compared short\u2010term safety outcomes, including delirium, disposition, and length of stay, among older adults with fall\u2010related injury according to whether they received prehospital opioid analgesia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We linked Medicare claims data with prehospital patient care reports for older adults (\u226565) with fall\u2010related injury in Illinois between January 1, 2014 and December 31, 2015. We used weighted regression models (logistic, multinomial logistic, and Poisson) to assess the association between prehospital opioid analgesia and incidence of inpatient delirium, hospital disposition, and length of stay.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 28,150 included older adults, 3% received prehospital opioids. Patients receiving prehospital opioids (vs. no prehospital opioids) were less likely to be discharged home from the emergency department (adjusted probability\u2009=\u20090.30 [95% CI: 0.25, 0.34] vs. 0.47 [95% CI: 0.46, 0.48]), more likely to be discharged to a non\u2010home setting after an inpatient admission (adjusted probability\u2009=\u20090.43 [95% CI: 0.39, 0.48] vs. 0.30 [95% CI: 0.30, 0.31]), had inpatient length of stay 0.4\u2009days shorter (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and ICU length of stay 0.7\u2009days shorter (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.045). Incidence of delirium did not vary between treatment and control groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Few older adults receive opioid analgesia in the prehospital setting. Prehospital opioid analgesia may be associated with hospital disposition and length of stay for older adults with fall\u2010related injury. However, our findings do not provide evidence of an association with inpatient delirium. These findings should be considered when developing guidelines for prehospital pain management specific to the older adult population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.18830","type":"journal-article","created":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T21:55:09Z","timestamp":1709157309000},"page":"1384-1395","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Short\u2010term outcomes of prehospital opioid pain management for older adults with fall\u2010related injury"],"prefix":"10.1111","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7117-5869","authenticated-orcid":false,"given":"Molly P.","family":"Jarman","sequence":"first","affiliation":[{"name":"Center for Surgery and Public Health Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"Department of Surgery Harvard Medical School  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ginger","family":"Jin","sequence":"additional","affiliation":[{"name":"Center for Surgery and Public Health Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"Department of Health Law, Policy, and Management Boston University School of Public Health  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annie","family":"Chen","sequence":"additional","affiliation":[{"name":"Center for Surgery and Public Health Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Losina","sequence":"additional","affiliation":[{"name":"Department of Surgery Harvard Medical School  Boston Massachusetts USA"},{"name":"Orthopaedic and Arthritis Center for Outcomes Research, Department of Orthopaedic Surgery Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"Department of Biostatistics Boston University School of Public Health  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joel S.","family":"Weissman","sequence":"additional","affiliation":[{"name":"Center for Surgery and Public Health Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"Department of Surgery Harvard Medical School  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah D.","family":"Berry","sequence":"additional","affiliation":[{"name":"Department of Medicine Beth Israel Deaconess Medical Center  Boston Massachusetts USA"},{"name":"Hinda and Arthur Marcus Institute for Aging Research and Department of Medicine Hebrew SeniorLife  Boston Massachusetts USA"},{"name":"Department of Medicine Harvard Medical School  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Salim","sequence":"additional","affiliation":[{"name":"Department of Surgery Harvard Medical School  Boston Massachusetts USA"},{"name":"Division of Trauma, Burn, and Surgical Critical Care Brigham and Woemn's Hospital  Boston Massachusetts United\u00a0States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,2,28]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6537a2"},{"key":"e_1_2_11_3_1","unstructured":"FrederickPD.EMS Data Cube. 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