Emergency department-initiated buprenorphine protocols: A national evaluation.

buprenorphine protocol emergency department opioid use disorder opioid withdrawal

Journal

Journal of the American College of Emergency Physicians open
ISSN: 2688-1152
Titre abrégé: J Am Coll Emerg Physicians Open
Pays: United States
ID NLM: 101764779

Informations de publication

Date de publication:
Dec 2021
Historique:
received: 26 06 2021
revised: 28 10 2021
accepted: 02 11 2021
entrez: 8 12 2021
pubmed: 9 12 2021
medline: 9 12 2021
Statut: epublish

Résumé

Emergency department-initiated buprenorphine (BUP) for opioid use disorder is an evidence-based practice, but limited data exist on BUP initiation practices in real-world settings. We sought to characterize protocols for BUP initiation among a geographically diverse sample of emergency departments (EDs). In December 2020, we reviewed prestudy clinical BUP initiation protocols from all EDs participating in CTN0099 Emergency Department-INitiated bupreNOrphine VAlidaTION (ED-INNOVATION). We abstracted information on processes for identification of treatment-eligible patients, BUP administration, and discharge care. All participating ED-INNOVATION sites across 22 states submitted protocols; 31 protocols were analyzed. In this geographically diverse sample of EDs, protocols for ED-initiated BUP differed between sites. Future work should evaluate the association between this variation and patient outcomes.

Identifiants

pubmed: 34877567
doi: 10.1002/emp2.12606
pii: EMP212606
pmc: PMC8630357
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e12606

Subventions

Organisme : NCATS NIH HHS
ID : UL1 TR001863
Pays : United States

Informations de copyright

© 2021 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

Références

Addict Behav. 2010 May;35(5):537-40
pubmed: 20106601
Ann Emerg Med. 2019 May;73(5):481-487
pubmed: 30616926
Obstet Gynecol. 2012 May;119(5):1070-6
pubmed: 22525931
JAMA Netw Open. 2021 Jul 1;4(7):e2117128
pubmed: 34264326
CJEM. 2019 Jul;21(4):492-498
pubmed: 31006398
Ann Emerg Med. 2020 Jan;75(1):13-17
pubmed: 31229387
JAMA. 2015 Apr 28;313(16):1636-44
pubmed: 25919527
J Addict Med. 2020 Mar/Apr;14(2S Suppl 1):1-91
pubmed: 32511106
Addiction. 2017 Nov;112(11):2002-2010
pubmed: 28815789
Nat Rev Dis Primers. 2020 Jan 9;6(1):3
pubmed: 31919349
Public Health Rep. 2018 Nov/Dec;133(1_suppl):24S-34S
pubmed: 30426871
Ann Emerg Med. 2020 Jan;75(1):49-56
pubmed: 31732373
Prehosp Emerg Care. 2021 Mar-Apr;25(2):289-293
pubmed: 32208945
Am J Emerg Med. 2019 Sep;37(9):1787-1790
pubmed: 30803850
Implement Sci. 2019 May 7;14(1):48
pubmed: 31064390
Ann Emerg Med. 2021 Sep;78(3):434-442
pubmed: 34172303
J Psychoactive Drugs. 2003 Apr-Jun;35(2):253-9
pubmed: 12924748
J Subst Abuse Treat. 2004 Sep;27(2):153-9
pubmed: 15450648
West J Emerg Med. 2020 Aug 24;21(5):1175-1181
pubmed: 32970572
Contemp Clin Trials. 2021 May;104:106359
pubmed: 33737199
JAMA Netw Open. 2020 Oct 1;3(10):e2021209
pubmed: 33079195
West J Emerg Med. 2020 Feb 21;21(2):261-271
pubmed: 32191184
JMIR Hum Factors. 2019 Feb 27;6(1):e13121
pubmed: 30810531
Drug Alcohol Rev. 2021 May;40(4):567-571
pubmed: 33480051
N Engl J Med. 2014 May 29;370(22):2063-6
pubmed: 24758595
N Engl J Med. 2018 Dec 27;379(26):2487-2490
pubmed: 30586522
JAMA. 2020 Jan 21;323(3):276-277
pubmed: 31961408
J Psychoactive Drugs. 2006 Dec;38(4):505-12
pubmed: 17373566
Ann Emerg Med. 2008 Aug;52(2):126-36
pubmed: 18433933
Ann Emerg Med. 2020 Jan;75(1):20-28
pubmed: 31561997
JAMA Netw Open. 2020 May 1;3(5):e204561
pubmed: 32391893
J Addict Med. 2014 Sep-Oct;8(5):299-308
pubmed: 25254667
Acad Emerg Med. 2009 Jan;16(1):1-10
pubmed: 19007346
MMWR Morb Mortal Wkly Rep. 2020 Mar 20;69(11):290-297
pubmed: 32191688
Am J Emerg Med. 2021 May;43:17-20
pubmed: 33476917
BMJ. 2017 Apr 26;357:j1550
pubmed: 28446428
Ann Intern Med. 2018 Aug 7;169(3):137-145
pubmed: 29913516
J Subst Abuse Treat. 2011 Jun;40(4):349-56
pubmed: 21310583

Auteurs

Clara Z Guo (CZ)

Yale University School of Medicine New Haven Connecticut USA.

Gail D'Onofrio (G)

Department of Emergency Medicine Yale University School of Medicine New Haven Connecticut USA.

David A Fiellin (DA)

Department of Internal Medicine Yale University School of Medicine New Haven Connecticut USA.

E Jennifer Edelman (EJ)

Department of Internal Medicine Yale University School of Medicine New Haven Connecticut USA.

Kathryn Hawk (K)

Department of Emergency Medicine Yale University School of Medicine New Haven Connecticut USA.

Andrew Herring (A)

Department of Emergency Medicine Highland Hospital - Alameda Health System University of California San Francisco California USA.

Ryan McCormack (R)

Department of Emergency Medicine New York University School of Medicine New York New York USA.

Jeanmarie Perrone (J)

Department of Emergency Medicine Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania USA.

Ethan Cowan (E)

Department of Emergency Medicine Icahn School of Medicine at Mount Sinai New York New York USA.

Classifications MeSH