6533b85bfe1ef96bd12bad4b
RESEARCH PRODUCT
The stigma of low opioid prescription in the hospitalized multimorbid elderly in Italy.
A MarengoniA NobiliO CorliCd DjadeD BertoniM TettamantiL PasinaS CorraoF SalernoM MarcucciPm MannucciM MannucciA NobiliM TettamantiL PasinaC FranchiM NegriF SalernoS CorraoA MarengoniM MarcucciE SparacioS AlborghettiR Di CostanzoM TettamantiCd DjadeD PriscoE SilvestriC CenciG DelitalaS CartaS AtzoriA SpallutiMg SerraMa BleveC PanicoM VanoliL GasbarroneG ManiscalcoM GunelliD TirottaA BrucatoS GhidoniM BernardiSl BassiL SantiG AgnelliM MarcucciE MarchesiniE MannarinoG LupattelliP RondelliF PaciulloF FabrisM CristinaM PalaF FabbianM RuvioS CappelliG PaolissoMr RizzoT LaietaT SalvatoreF CarloE Durante MangoniD PintoO OlivieriAm StanzialR FellinS VolpatoS FotiniM BarbagalloL DominguezL PlancesI PepeG LicataL CalvoM ValentiC BorghiE StrocchiEr RinaldiM ZoliE FabbriD MagalottiA AuteriAl PasquiL PuccettiFl PasiniPl CapecchiM BicchiC SabbaFs VellaA MarsegliaCv LuglioG PalascianoMe ModeoA AquilinoP RaffaeleS PuglieseC CapobiancoIa MurriA PostiglioneMr BarbellaF DeL FenoglioC BrignoneC BraccoA GiraudoG MuscaO CuccurulloL CriccoMd CappelliniG FabioS SeghezziS FargionM BulgheroniR LombardiF MagriniF PeyvandiG MoreoB FerrariL RoncariV MonzaniM MagniniD MariP DionigiS ProloL CriccoS MontefiasconeG MicaleM PoddaF SalernoS AccordinoV MontiGr CorazzaE MiceliMv LentiD PadulaCl BalduiniF QuagliaG MurialdoM BovioF DallegriA QuercioliA BarrecaMb SecchiD GhelfiC BalsamoS ChinL CarassaleS CaporotundoL AnastasioM CarboneV ValentiaG TraisciL De FeudisG DavıM TeresaS SestiliE BergamiE RizzioliC CagnoniL BertoneA ManucraP SoccorsoA BurattiT TogninNl LiberatoG BernasconiGb BianchiS GiaquintoG RiccardoV PredabissiF PurrelloA Di PinoM CortellaroM MagentaF PeregoMr MeroniM CicardiAg MarinaA SaccoA BonelliG DentamaroR RozziniL FalangaA GiordanoPc PerinB LorenzatiG GrudenG BrunoG MontrucchioE GrecoP TizzaniG FeraMl Di LucaD RennaA PerciccanteA CoralliR TassaraD MelisG MenardoC FerriR StriuliR ScipioniR SalmiP GaudenziS GamberiniF RicciUs AnnaC MorabitoR FavaA SempliciniL GottardoG DelitalaS CartaG VendemialeR ForlanoL BolondiL RascitiI SerioC MasalaA MammarellaF Rossi FanelliM DelfinoF VioliS BasiliL PerriM FalconeR LandolfiA GriecoA GalloA GemelliF FranceschiG De MarcoC ChiaraS MartaM BellusciD SettiF PedrazzoliG RomanelliC PiraliC AmoliniEa RoseiD RizzoniL CastoldiA PicardiUv GentilucciC MazzarelliP GalloLuigina GuastiLuana CastiglioniAndrea Maria MarescaAlessandro SquizzatoSara ContiniMarta MolaroG AnnoniM CorsiS ZazzettaS GerardoM BertolottiC MussiR ScottoMa FerriF VeltriF ArturiE SuccurroG SestiU GualtieriSm GreciaF PerticoneA SciacquaM QueroC BagnatoP LoriaMa BecchiG MartucciA FantuzziM MaurantonioR CorinaldesiR De GiorgioM SerraV GrassoE RuggeriLm CarozzaF. Pignattisubject
RegistrieMalePoison controlOlder personComorbidityPractice PatternsDrug PrescriptionOlder persons Pain Analgesic opioids80 and overRegistriesPractice Patterns Physicians'Pain MeasurementAged 80 and overAnalgesicsAnalgesic opioids; Older persons; Pain; Emergency Medicine; Internal MedicineAnalgesics OpioidHospitalizationItalyEmergency MedicineFemaleTramadolHumanmedicine.drugmedicine.medical_specialtyAttitude of Health PersonnelAnalgesicPainOpioidelderlyDrug PrescriptionsInjury preventionmedicineInternal MedicineHumansAnalgesic opioidsMedical prescriptionAgedPhysicians'business.industryCodeineSettore MED/09 - MEDICINA INTERNAAnalgesic opioidmedicine.diseaseComorbidityOlder persons Pain Analgesic opioidsOpioidOlder personsEmergency medicinebusinessAnalgesic opioids; Older persons; Pain; Aged; Aged 80 and over; Analgesics Opioid; Comorbidity; Drug Prescriptions; Female; Humans; Italy; Male; Pain; Pain Measurement; Practice Patterns Physicians'; Registries; Attitude of Health Personnel; Hospitalization; Internal Medicine; Emergency MedicineAnalgesic opioids; Older persons; Pain; Aged; Aged 80 and over; Analgesics Opioid; Comorbidity; Drug Prescriptions; Female; Humans; Italy; Male; Pain; Pain Measurement; Practice Patterns Physicians'; Registries; Attitude of Health Personnel; Hospitalization; Emergency Medicine; Internal Medicinedescription
The primary aim of this study was to evaluate the prevalence of opioid prescriptions in hospitalized geriatric patients. Other aims were to evaluate factors associated with opioid prescription, and whether or not there was consistency between the presence of pain and prescription. Opioid prescriptions were gathered from the REgistro POliterapie Societa` Italiana di Medicina Interna (REPOSI) data for the years 2008, 2010 and 2012. 1,380 in-patients, 65+ years old, were enrolled in the first registry run, 1,332 in the second and 1,340 in the third. The prevalence of opioid prescription was calculated at hospital admission and discharge. In the third run of the registry, the degree of pain was assessed by means of a numerical scale. The prevalence of patients prescribed with opioids at admission was 3.8Â % in the first run, 3.6Â % in the second and 4.1Â % in the third, whereas at discharge rates were slightly higher (5.8, 5.3, and 6.6Â %). The most frequently prescribed agents were mild opioids such as codeine and tramadol. The number of total prescribed drugs was positively associated with opioid prescription in the three runs; in the third, dementia and a better functional status were inversely associated with opioid prescription. Finally, as many as 58Â % of patients with significant pain at discharge were prescribed no analgesic at all. The conservative attitude of Italian physicians to prescribe opioids in elderly patients changed very little between hospital admission and discharge through a period of 5Â years. Reasons for such a low opioid prescription should be sought in physiciansâ and patientsâ concerns and prejudices.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2015-01-01 |