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Pediatric Opioid-Related Hospital, ICU Admissions on the Rise

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Rate of pediatric hospitalization, ICU admission increased, 2004 to 2015
Introduction of a new model of screening and protocoled treatment with medications for opioid addiction treatment

Treatment Model Linked to Drop in Post-Incarceration Overdoses

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Introduction of model to treat opioid use disorder tied to drop in overdose deaths after incarceration
Many patients with non-cancer-related chronic pain prescribed long-term opioids may wish to taper their opioid use

Chronic Opioid Users May Wish to Taper Opioid Use

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In study completers, median morphine equivalent daily dose fell from 288 mg to 150 mg in four months
Intravenous acetaminophen with or without ketorolac is associated with reduced opioid consumption and cost of care after scoliosis surgery in adolescents

Opioids Plus Acetaminophen, Ketorolac Cost-Effective Post-Sx

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In children having scoliosis surgery, combo is linked to reduced opioid intake compared with opioids alone
Antidepressant medication adherence is associated with cessation of long-term prescription opioid use among patients with non-cancer pain

Treating Depression Found to Up Successful Opioid Cessation

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Taking antidepressants helped non-cancer pain patients successfully stop long-term opioid use
Opioid prescribing among dermatologists is limited

Limited Opioid Prescribing Among Dermatologists

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Overall, 93.9 percent of the top 1 percent of opioid prescribers worked in a surgical practice
Opioid use is associated with elevated risk of invasive pneumococcal disease

Opioid Use Linked to Risk of Invasive Pneumococcal Disease

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Strongest associations seen for opioids that were long acting, of high potency, and used at high doses
For newborns with neonatal abstinence syndrome

Rooming-In May Up Outcomes in Neonatal Abstinence Syndrome

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Reduction in pharmacotherapy use, length of stay for newborns with neonatal abstinence syndrome
Patients with musculoskeletal conditions who are using prescribed opioids are more likely to be highly satisfied with their care

Prescribing of Opioids Adds to Patient Satisfaction With Care

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Findings strongest with higher opioid use among patients with musculoskeletal conditions
Improvement in obstetrician-gynecologists' knowledge and prescribing practices regarding opioids is needed

Improvement Needed in Ob-Gyn Opioid Prescribing Practices

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Respondents prescribed median of 26 pills/patient; amount prescribed varied widely by indication