期刊
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
卷 101, 期 11, 页码 2033-2040出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.apmr.2020.07.005
关键词
Analgesics; opioid; Brain injuries; traumatic; Drug overdose; Humans; Patient Discharge; Rehabilitation
资金
- Centers for Disease Control and Prevention (CDC) [NU17CD002721]
- Administration for Community Living (ACL) [90TBSG0034]
- National Institute on Disability, Independent Living, and Rehabilitation Research [90DRTB0002, 90DPTB0001]
- US Department of Health and Human Services (HHS)
- NIDILRR [90DPTB0001, 1004318] Funding Source: Federal RePORTER
Our objective was to make recommendations intended to reduce the rate of opioid misuse and overdose for a particularly high-risk group of people with traumatic brain injury (TBI). A consensus process conducted with TBI researchers and expert practitioners developed practical recommendations to inform prescribing of opioids for people with TBI. After determining key general principles for prescribing opioids for people with TBI, 6 TBI-specific recommendations were developed, 1 for acute pain in the agitated patient with TBI, 3 recommendations to be considered before prescribing an opioid, and 2 for follow-up and use by mental health and substance use disorder providers. While there is much needed research to examine the relationship between opioid misuse and TBI, the present recommendations provide at least some clinical considerations that might serve to prevent further deaths among a high-risk group. (C) 2020 by the American Congress of Rehabilitation Medicine
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