Date of Presentation
5-2-2024 12:00 AM
College
Rowan-Virtua School of Osteopathic Medicine
Poster Abstract
Opioid prescription rates vary between patient population, diagnosis, location, and emergency department characteristics. High prescription rates offer an avenue for potential opioid addiction and overdoses. Alternatives to opioids (ALTO) is a new program already implemented in certain emergency departments to help change opioid prescription rates by introducing new protocols for first line treatments for pain management. With current trends still showing that South Jersey opioids prescription rates are the highest in the state of New Jersey, ALTO was introduced at Inspira Health Network located in South Jersey. This study retrospectively analyzed opioids prescription rates for abdominal pain, renal colic, migraines, and low back pain preintervention and postintervention of ALTO at Woodbury Inspira Emergency Department in order to see the effects of ALTO. Here we report that although overall prescription rates were not significantly changed pre and post intervention, ALTO was effective in significantly reducing opioid prescriptions for migraines. In addition, female patients were significantly prescribed more opioids than male patients and young adults to adults were significantly prescribed more opioids than children, adolescent and elderly. ALTO has shown glimpses in its effectiveness in helping to reduce opioid prescription rates for specific diagnosis. More research still must be done to better understand opioid prescription rates and effectives of ALTO.
Keywords
Emergency Department, Opioids, Pain, Pain Management, Low Back Pain, Migraines, Abdominal Pain, Renal Rolic, Drug Prescriptions, Drug Substitution, New Jersey
Disciplines
Anesthesia and Analgesia | Community Health | Emergency Medicine | Health and Medical Administration | Health Services Research | Medicine and Health Sciences | Pharmaceutical Preparations | Pharmacy Administration, Policy and Regulation | Substance Abuse and Addiction
Document Type
Poster
DOI
10.31986/issn.2689-0690_rdw.stratford_research_day.95_2024
Included in
Anesthesia and Analgesia Commons, Community Health Commons, Emergency Medicine Commons, Health and Medical Administration Commons, Health Services Research Commons, Pharmaceutical Preparations Commons, Pharmacy Administration, Policy and Regulation Commons, Substance Abuse and Addiction Commons
Opioid Prescription Rates Before and After ALTO Program and Various Factors Affecting Emergency Department Opioid Prescription Rates
Opioid prescription rates vary between patient population, diagnosis, location, and emergency department characteristics. High prescription rates offer an avenue for potential opioid addiction and overdoses. Alternatives to opioids (ALTO) is a new program already implemented in certain emergency departments to help change opioid prescription rates by introducing new protocols for first line treatments for pain management. With current trends still showing that South Jersey opioids prescription rates are the highest in the state of New Jersey, ALTO was introduced at Inspira Health Network located in South Jersey. This study retrospectively analyzed opioids prescription rates for abdominal pain, renal colic, migraines, and low back pain preintervention and postintervention of ALTO at Woodbury Inspira Emergency Department in order to see the effects of ALTO. Here we report that although overall prescription rates were not significantly changed pre and post intervention, ALTO was effective in significantly reducing opioid prescriptions for migraines. In addition, female patients were significantly prescribed more opioids than male patients and young adults to adults were significantly prescribed more opioids than children, adolescent and elderly. ALTO has shown glimpses in its effectiveness in helping to reduce opioid prescription rates for specific diagnosis. More research still must be done to better understand opioid prescription rates and effectives of ALTO.