Concomitant inpatient prescribing of strong opioids with sedatives: Associations with comorbid conditions
Abstract Co‐prescribing of opioids and sedatives is a known risk factor for opioid‐induced ventilatory impairment (OIVI). Prevalence data for sedative and opioid co‐prescription in inpatients in Australia are unknown. Our objective was to determine the prevalence of inpatient sedative and opioid co‐...
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Online Access: | https://doi.org/10.1002/prp2.717 |
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doaj-52f3c755221d4caca60d5c8110a89a752021-05-03T03:29:33ZengWileyPharmacology Research & Perspectives2052-17072021-02-0191n/an/a10.1002/prp2.717Concomitant inpatient prescribing of strong opioids with sedatives: Associations with comorbid conditionsRay J. Li0Gillian E. Caughey1Sepehr Shakib2Department of Clinical Pharmacology Royal Adelaide Hospital Adelaide AustraliaDepartment of Clinical Pharmacology Royal Adelaide Hospital Adelaide AustraliaDepartment of Clinical Pharmacology Royal Adelaide Hospital Adelaide AustraliaAbstract Co‐prescribing of opioids and sedatives is a known risk factor for opioid‐induced ventilatory impairment (OIVI). Prevalence data for sedative and opioid co‐prescription in inpatients in Australia are unknown. Our objective was to determine the prevalence of inpatient sedative and opioid co‐prescribing and to identify factors associated with co‐prescription. We conducted a retrospective cross‐sectional study from July 2017 to October 2017 across four South Australian hospitals utilizing a centralized electronic health record. Multivariate analysis was used to identify characteristics predictive of co‐prescribing of a strong opioid (fentanyl, hydromorphone, morphine, and oxycodone) and sedative medications (benzodiazepines, antiepileptics, antipsychotics, and tricyclic antidepressants). Of the 6170 inpatients, 2795 (45.3%) were prescribed a strong opioid and of those, 1889 (30.6% of all inpatients) were co‐prescribed a sedative. Of those prescribed a strong opioid, five (0.18%) developed OIVI. Patients prescribed a strong opioid had a 27–77% increased likelihood of being prescribed a sedative. Factors predictive of sedative co‐prescribing included the presence of disease of the central nervous system adjusted OR (aOR) 8.66 [95% CI 5.83–12.9] and respiratory disease aOR 1.42 [95% CI 1.17–1.72]. Nearly, one third of all hospital inpatients were co‐prescribed a strong opioid and a sedative medication. Patients with comorbidities resulting in increased risk of respiratory depression/OIVI were more likely to have sedative co‐prescription. Clinicians should be aware of the effects of high‐risk medications and ensure that systems and monitoring are in place that help mitigate adverse outcomes.https://doi.org/10.1002/prp2.717hypnotics and sedativesinpatientsopioidpain managementprescriptionsrespiration |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ray J. Li Gillian E. Caughey Sepehr Shakib |
spellingShingle |
Ray J. Li Gillian E. Caughey Sepehr Shakib Concomitant inpatient prescribing of strong opioids with sedatives: Associations with comorbid conditions Pharmacology Research & Perspectives hypnotics and sedatives inpatients opioid pain management prescriptions respiration |
author_facet |
Ray J. Li Gillian E. Caughey Sepehr Shakib |
author_sort |
Ray J. Li |
title |
Concomitant inpatient prescribing of strong opioids with sedatives: Associations with comorbid conditions |
title_short |
Concomitant inpatient prescribing of strong opioids with sedatives: Associations with comorbid conditions |
title_full |
Concomitant inpatient prescribing of strong opioids with sedatives: Associations with comorbid conditions |
title_fullStr |
Concomitant inpatient prescribing of strong opioids with sedatives: Associations with comorbid conditions |
title_full_unstemmed |
Concomitant inpatient prescribing of strong opioids with sedatives: Associations with comorbid conditions |
title_sort |
concomitant inpatient prescribing of strong opioids with sedatives: associations with comorbid conditions |
publisher |
Wiley |
series |
Pharmacology Research & Perspectives |
issn |
2052-1707 |
publishDate |
2021-02-01 |
description |
Abstract Co‐prescribing of opioids and sedatives is a known risk factor for opioid‐induced ventilatory impairment (OIVI). Prevalence data for sedative and opioid co‐prescription in inpatients in Australia are unknown. Our objective was to determine the prevalence of inpatient sedative and opioid co‐prescribing and to identify factors associated with co‐prescription. We conducted a retrospective cross‐sectional study from July 2017 to October 2017 across four South Australian hospitals utilizing a centralized electronic health record. Multivariate analysis was used to identify characteristics predictive of co‐prescribing of a strong opioid (fentanyl, hydromorphone, morphine, and oxycodone) and sedative medications (benzodiazepines, antiepileptics, antipsychotics, and tricyclic antidepressants). Of the 6170 inpatients, 2795 (45.3%) were prescribed a strong opioid and of those, 1889 (30.6% of all inpatients) were co‐prescribed a sedative. Of those prescribed a strong opioid, five (0.18%) developed OIVI. Patients prescribed a strong opioid had a 27–77% increased likelihood of being prescribed a sedative. Factors predictive of sedative co‐prescribing included the presence of disease of the central nervous system adjusted OR (aOR) 8.66 [95% CI 5.83–12.9] and respiratory disease aOR 1.42 [95% CI 1.17–1.72]. Nearly, one third of all hospital inpatients were co‐prescribed a strong opioid and a sedative medication. Patients with comorbidities resulting in increased risk of respiratory depression/OIVI were more likely to have sedative co‐prescription. Clinicians should be aware of the effects of high‐risk medications and ensure that systems and monitoring are in place that help mitigate adverse outcomes. |
topic |
hypnotics and sedatives inpatients opioid pain management prescriptions respiration |
url |
https://doi.org/10.1002/prp2.717 |
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