{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T15:41:04Z","timestamp":1789141264349,"version":"build-2803163510"},"reference-count":18,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2022,3,25]],"date-time":"2022-03-25T00:00:00Z","timestamp":1648166400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100020492","name":"Translational Research Institute","doi-asserted-by":"crossref","award":["UL1 TR003107"],"award-info":[{"award-number":["UL1 TR003107"]}],"id":[{"id":"10.13039\/501100020492","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>More than 5 million Americans misuse opioids. Six percent of patients who receive opioids for acute pain progress to chronic use; this increases with higher doses and longer prescriptions. Prescribing variation exists within trauma centers and after emergency surgery but has not been demonstrated among intensivists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Milligram morphine equivalents (MME) per patient-ICU-day provided by eleven surgical intensivists were analyzed. The patients were separated into 2 groups based on their percentage of time intubated in the surgical ICU. Both study groups were compared using demographics and comorbidity scores. The attendings were divided into high- and low-prescribing groups based on their MME\/pt-ICU-day for intubated patients, and bivariate statistical analyses were performed. A similar analysis compared surgery vs anesthesia intensivists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The analysis included 257 patients in the \u201clong-vent group\u201d (LVG) and 668 patients in the \u201cshort-vent group\u201d (SVG). The average MME\/pt-ICU-day for the LVG was 222. Despite no significant differences in age, sex, or Elixhauser Comorbidity Index, there was a 45% difference between the high- and low-prescribing physicians in the LVG (253.7 vs 175.4 MME\/pt-ICU-day; P = .008). This difference was not observed for patients in the SVG (74.3 vs 93.1 MME\/pt-ICU-day; P = .141) nor based on intensivist specialty (LVG: 217.9 vs 209.5 MME\/pt-ICU-day; P = .8) (SVG: 79.0 vs 93.3 MME\/pt-ICU-day; P = .288).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348221082280","type":"journal-article","created":{"date-parts":[[2022,3,25]],"date-time":"2022-03-25T22:43:51Z","timestamp":1648248231000},"page":"1479-1483","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Opioid Prescribing Behaviors Among Surgical Intensive Care Unit Attending Physicians"],"prefix":"10.1177","volume":"88","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3714-4310","authenticated-orcid":false,"given":"Emily M.","family":"Goodman","sequence":"first","affiliation":[{"name":"College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison","family":"Wells","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanna K.","family":"Jensen","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle J.","family":"Kalkwarf","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,3,25]]},"reference":[{"key":"bibr1-00031348221082280","unstructured":"US Centers for Disease Control and Prevention. Provisional counts of drug overdose deaths as of August 6, 2017. 2017. https:\/\/www.cdc.gov\/nchs\/data\/health_policy\/monthly-drug-overdose-death-estimates.pdf. Accessed December 19, 2021"},{"key":"bibr2-00031348221082280","unstructured":"US Centers for Disease Control and Prevention. Drug overdose deaths in the U.S. Top 100,000 annually. 2021. https:\/\/www.cdc.gov\/nchs\/pressroom\/nchs_press_releases\/2021\/20211117.htm. Accessed January 19, 2022"},{"key":"bibr3-00031348221082280","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000002679"},{"key":"bibr4-00031348221082280","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2019.01.020"},{"key":"bibr5-00031348221082280","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002365"},{"key":"bibr6-00031348221082280","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2018.05.047"},{"key":"bibr7-00031348221082280","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001993"},{"key":"bibr8-00031348221082280","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.1464"},{"key":"bibr9-00031348221082280","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e3182783b72"},{"key":"bibr10-00031348221082280","unstructured":"Michigan Opioid Prescribing Engagement Network. Opioid prescribing recommendations. 2019. https:\/\/michigan-open.org\/prescribing-recommendations\/. Accessed January 20, 2022"},{"key":"bibr11-00031348221082280","author":"US Centers for Disease Control and Prevention","year":"2019","journal-title":"WISQARS"},{"key":"bibr12-00031348221082280","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000000600"},{"key":"bibr13-00031348221082280","author":"Ghatehorde NK","year":"2021","journal-title":"Stat Pearls"},{"key":"bibr14-00031348221082280","doi-asserted-by":"publisher","DOI":"10.1097\/MCC.0000000000000773"},{"key":"bibr15-00031348221082280","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-045087"},{"key":"bibr16-00031348221082280","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2015.02.020"},{"key":"bibr17-00031348221082280","first-page":"67","volume":"9","author":"Brain Trauma Foundation","year":"2016","journal-title":"Neurosurgery"},{"key":"bibr18-00031348221082280","doi-asserted-by":"publisher","DOI":"10.1111\/j.1476-5381.2011.01335.x"}],"container-title":["The American Surgeon"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221082280","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348221082280","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221082280","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:36:16Z","timestamp":1777379776000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/00031348221082280"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,25]]},"references-count":18,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2022,7]]}},"alternative-id":["10.1177\/00031348221082280"],"URL":"https:\/\/doi.org\/10.1177\/00031348221082280","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,25]]}}}