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J Pain Res. 2012;5:237-42. doi: 10.2147/JPR.S32603. Epub 2012 Jul 30.

A review of opioid prescription in a teaching hospital in Colombia.

Author information

1
Anesthesia Department, Pain Service, Hospital Universitario Fundación Santafé de Bogotá, Avenida 9 No 117-20, Bogotá, Republic of Colombia;

Abstract

INTRODUCTION:

Review of opioid prescriptions in a hospital provides valuable information to health care professionals which may contribute to proper pain management; opioid utilization studies may help uncover factors that can be improved for better prescribing. To evaluate the use of opioid analgesics in a university hospital, a review of opioids prescribed in hospitalized patients was developed.

METHODS:

Information was obtained from the pharmacy database and medical records. The study period was 1 month.

RESULTS:

Medical records of 1156 patients admitted in July 2009 were analyzed. The most widely prescribed opioid was tramadol; the preferred administration route was intravenous; the main indication was severe pain; and major prescribers were from surgical departments.

DISCUSSION:

Underutilization of potent opioids for acute and chronic pain seems to occur.

CONCLUSION:

Most prescribers prefer weak opioids, given intravenously to treat acute and chronic pain, while some patients may benefit from the prescription of more potent opioids.

KEYWORDS:

drug utilization; hydromorphone; morphine; pain; pethidine; tramadol

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