Opioid Use Among Adolescent Patients Treated for Headache

DeVries, Andrea; Koch, Thomas; Wall, Erika; Getchius, Thomas S.D.; Chi, Winnie; Rosenberg, Alan

doi:10.1016/j.jadohealth.2013.12.014

Cited by 35 publications

(24 citation statements)

References 34 publications

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“…Although not determined from our study, the rising use of prescription opioids, marijuana legalization, and other societal factors could have contributed to this finding. 30,31 In the current study, less prevalent pediatric mental health conditions (eg, mood disorders), rather than the most prevalent ones (eg, attentiondeficit/hyperactivity disorder [ADHD]), were associated with the greatest hospital resource use. Longer length of stay may be one reason for this finding.…”

Section: Discussionmentioning

confidence: 82%

Contributions of Children With Multiple Chronic Conditions to Pediatric Hospitalizations in the United States: A Retrospective Cohort Analysis

Berry

Ash

Cohen

et al. 2017

Hospital Pediatrics

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Section: Discussionmentioning

confidence: 82%

Contributions of Children With Multiple Chronic Conditions to Pediatric Hospitalizations in the United States: A Retrospective Cohort Analysis

Berry

Ash

Cohen

et al. 2017

Hospital Pediatrics

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“…The available evidence concerning the benefits and harms of long-term opioid therapy in children and adolescents is limited, and few opioid medications provide information on the label regarding safety and effectiveness in pediatric patients. However, observational research shows significant increases in opioid prescriptions for pediatric populations from 2001 to 2010 (36), and a large proportion of adolescents are commonly prescribed opioid pain medications for conditions such as headache and sports injuries (e.g., in one study, 50% of adolescents presenting with headache received a prescription for an opioid pain medication [37,38]). Adolescents who misuse opioid pain medication often misuse medications from their own previous prescriptions (39), with an estimated 20% of adolescents with currently prescribed opioid medications reporting using them intentionally to get high or increase the effects of alcohol or other drugs (40).…”

Section: Scope and Audiencementioning

confidence: 99%

CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016

Haegerich²,

2016

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“…While professional societies—including the American Academy of Pediatrics and American Academy of Neurology—recommend against opioid medications for adolescent headaches, this has not been applied widely in practice. A study that evaluated medical claims of almost 8500 adolescents with headaches found that 46% had ≥1 prescription for an opioid, and it was not uncommon to have multiple prescriptions (20). The longitudinal study of high school students found that 37% of the students with opioid prescriptions had abused pills leftover from a previous prescription.…”

Section: Discussionmentioning

confidence: 99%

Association of Overall Opioid Prescriptions on Adolescent Opioid Abuse

Sheridan

Laurie

Hendrickson

et al. 2016

The Journal of Emergency Medicine

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Background: Opioid abuse is a public health epidemic in the United States. Much literature has focused on the prescribing practices of physicians and opioid misuse by adults. However, there are limited data on the effect of opioid prescriptions on adolescent recreational ingestion of these medications. Objectives: The objective of this study was to assess for a relationship between opioid prescribing practices across the United States and adolescent opioid ingestion calls to poison centers. Methods: This was an observational study using the National Poison Data System. The study population consisted of poison center calls regarding adolescents between 2005 and 2010 in the database with a coding of “intentional abuse” and an opioid ingestion. National opioid prescription estimates were generated using nationally representative outpatient and inpatient databases. Results: There were 4186 adolescent opioid ingestion calls during the study period. There was a general increase between 2005 and 2010 in both teen opioid abuse calls (617 in 2005 to 782 in 2010) and national opioid prescriptions (approximately 78 million in 2005 to 108 million in 2010). For each opioid prescription increase per 100 persons per year, the annual teen opioid abuse calls increased by 1.8% (95% confidence interval 0.9–2.8%), equivalent to an absolute increase of about 0.04 to 0.05 calls per 100,000 teens annually. Conclusions: There appears to be an association between opioid prescriptions nationally and poison center calls for adolescent opioid ingestions. This is particularly important in this patient population because of impulsivity and early exposure to substance abuse. Providers should be aware of the nonmedical use of opioids by adolescents and educate patients accordingly.

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Opioid Use Among Adolescent Patients Treated for Headache

Cited by 35 publications

References 34 publications

Contributions of Children With Multiple Chronic Conditions to Pediatric Hospitalizations in the United States: A Retrospective Cohort Analysis

Contributions of Children With Multiple Chronic Conditions to Pediatric Hospitalizations in the United States: A Retrospective Cohort Analysis

CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016

Association of Overall Opioid Prescriptions on Adolescent Opioid Abuse

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