title: Long-term opioid use after discharge from inpatient musculoskeletal rehabilitation.
abstract: OBJECTIVE
  To determine: (i) the prevalence of opioid-naïve patients discharged on opioids from a musculoskeletal rehabilitation inpatient unit; (ii) the prevalence of opioid use 6 months after discharge; and (iii) the efficacy of the Opioid Risk Tool in identifying long-term opioid use.
  
  
  METHODS
  Prospective study.
  
  
  METHODS
  Sixty-four opioid-naïve patients who were exposed to opioids during admission and who were discharged on an opioid.
  
  
  METHODS
  Potentially eligible patients' charts were reviewed. Participants were interviewed during admission to obtain the opioid risk score and contacted 6 months after discharge via a semi-structured telephone interview.
  
  
  RESULTS
  Twenty-eight percent of opioid-naïve patients, who were discharged on opioids were still using opioids 6 months after discharge from rehabilitation. There was a trend for higher Opioid Risk Tool scores in those still using opioids than in individuals who were not using opioids at 6 months (p = 0.053).
  
  
  CONCLUSIONS
  Patients who are prescribed opioids during a hospital admission should be screened for risk of opioid misuse. This data suggests that the Opioid Risk Tool could identify a patient's potential for becoming a long-term user of opioids.
authors.affiliation: Toronto Rehabilitation Institute- UHN, 550 University Avenue, Room 7-141-1, Toronto ON, M5G 2A2, Canada. afurlan@iwh.on.ca, andrea.furlan@uhn.ca.
authors.forename: Andréa D
authors.initials: AD
authors.lastname: Furlan
authors.forename: Samah
authors.initials: S
authors.lastname: Hassan
authors.forename: Ida-Maisie
authors.initials: IM
authors.lastname: Famiyeh
authors.forename: Wendy
authors.initials: W
authors.lastname: Wang
authors.forename: Jaspreet
authors.initials: J
authors.lastname: Dhanju
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000701:Analgesics, Opioid / Q000008:administration & dosage*; D059350:Chronic Pain / Q000188:drug therapy / Q000209:etiology; D004334:Drug Administration Schedule; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000150:complications / Q000534:rehabilitation*; D009293:Opioid-Related Disorders / Q000175:diagnosis* / Q000209:etiology; D010351:Patient Discharge; D055553:Prescription Drugs; D011446:Prospective Studies; D012047:Rehabilitation Centers; D018570:Risk Assessment / Q000379:methods; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D000701:Analgesics, Opioid; D055553:Prescription Drugs