Blome-Eberwein, Sigrid A, MD

Snyder, Rachael

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksResearch Scholars Poster PresentationLong Term Pain Medication Dependency in BurnSurvivorsRachael SnyderSigrid A. Blome-Eberwein MDLehigh Valley Health Network, sigri.blome-eberwein@lvhn.orgFollow this and additional works at: https://scholarlyworks.lvhn.org/research-scholars-postersThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtSnyder, R., Blome-Eberwein, S., (2018, 3, August) Long Term Pain Medication Dependency in Burn Survivors. Poster presented at LVHNResearch Scholar Program Poster Session, Lehigh Valley Health Network, Allentown, PA.Lehigh Valley Health Network, Allentown, Pennsylvania• Opioid Epidemic: State of Emergency• Of the 52,404 drug over dose deaths in 2015,20,101 were related to prescription narcotics• Presently, it is common perception that people become addicted due to prescription narcotics they don’t need• As a result of the current sentiment, more patients are presenting with untreated pain in acute injuries• Due to the severity of pain seen in patients with burn injuries, they are treated with narcotic pain relievers regardless of their previous narcotic history• Most burn survivors are followed for at least one year after discharge• It is our standard practice to refer patients to pain management when addiction is suspected• Institutional Review Board (IRB) approval was obtained• Retrospective chart review of patients admitted to the LVHN Burn Center from August 1, 2015 to May 31, 2017• Pre-admission medication, drug use history, pre-existing medical conditions, demographics, burn size, depth of burn, inpatient and outpatient prescriptions, as well as pain management referrals were recorded• To determine the relationship between patients with a history of substance abuse prior to their burn injury and continued opioid use after burn injuryMethodsResultsPurposeLong Term Pain Medication Dependency in Burn SurvivorsNumber of PatientsPercentage ofPatientsNarcotics Before Burn Injury87 7.3%History of Illicit Substance Abuse140 11.7%History of Alcohol Abuse96 8.0%Nicotine Dependence 361 30.2%Background• The 5 patients that were referred to pain management had a history of substance abuse• 4 of those 5 patients previously used illicit drugs; it is unclear what substances the other patient abused • The following do NOT correlate with a patient’s continued addiction:Future Steps • Conduct follow up interviews by phone with patients directly to determine pain management following dischargeRachael Snyder, Sigrid Blome-Eberwein MDFemale: 335 Male: 802Pediatric: 322 Adult: 875Population Size: 1,197ConclusionsDiscussion• In our studied burn population, we found no correlation between long term opioid abuse and doses administered in the medical setting surrounding the acute burn injury– Inpatient narcotic medication doses– Outpatient narcotic prescriptions– Pain level at admission– Pain level at discharge– Pain level at outpatient visits* All photos property of LVHN with consent

Long Term Pain Medication Dependency in Burn Survivors

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1578&context=research-scholars-posters

Long Term Pain Medication Dependency in Burn Survivors

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