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Am J Hosp Palliat Care. 2014 Dec;31(8):793-6. doi: 10.1177/1049909113503541. Epub 2013 Sep 11.

Patterns of pain medication use during last months of life in HIV-infected populations: the experience of an academic outpatient clinic.

Author information

1
Department of Medicine, Section of Geriatric Medicine, Section of Infectious Diseases, Louisiana State University Health Sciences Center, New Orleans, LA, USA mruiz@lsuhsc.edu.
2
Louisiana State University Health Sciences Center, New Orleans, LA, USA.
3
Department of Pharmacy, Xavier University, New Orleans, LA, USA.
4
Department of Medicine, Tulane School of Medicine, New Orleans, LA, USA.

Abstract

INTRODUCTION:

This article describes the patterns of use of pain medicines of HIV-infected patients during last months of life in an HIV university-affiliated outpatient clinic.

METHODS:

We retrospectively reviewed our databases and identified patients who died over the last 12 months in our clinic. Demographic, clinical, and laboratory information were abstracted.

RESULTS:

A total of 41 patients died in our HIV outpatient clinic in a period of 12 months. Opioid analgesics were prescribed for 21 (51%) patients, with 10 (48%) of these patients prescribed short-acting opioid analgesics alone, In all, 11 patients (52%) were on a short-acting and long-acting opioid combination, and 30 (73%) patients experienced pain that was not adequately controlled.

DISCUSSION:

Pain control during the last months of life for this population appears to be suboptimal. Better strategies are needed.

KEYWORDS:

HIV; antiretroviral; end of life; hospice care; opioids; palliative care

PMID:
24031078
DOI:
10.1177/1049909113503541
[Indexed for MEDLINE]
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