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{
    "pk": 13479,
    "title": "Buprenorphine for Opioid Use Disorder in the Emergency Department: A Retrospective Chart Review",
    "subtitle": null,
    "abstract": "Introduction: \nEmergency care providers routinely treat patients with acute presentations and sequelae of opioid use disorder. An emergency physician and pharmacist implemented a protocol using buprenorphine for the treatment of patients with opioid withdrawal at an academic, Level I trauma center. We describe our experience regarding buprenorphine implementation in the emergency department (ED), characteristics of patients who received buprenorphine, and rates of outpatient follow-up.\nMethods:\n We conducted a retrospective chart review of all patients in the ED for whom buprenorphine was administered to treat opioid withdrawal during an 18-month period from January 30, 2017–July 31, 2018. Data extraction of a priori-defined variables was recorded. We used descriptive statistics to characterize the cohort of patients.\nResults:\n A total of 77 patients were included for analysis. Thirty-three patients (43%) who received buprenorphine did not present with the chief complaint of opioid withdrawal. Most patients (74%) who received buprenorphine last used heroin, and presented in moderate opioid withdrawal. One case of precipitated withdrawal occurred after buprenorphine administration. Twenty-three (30%) patients received outpatient follow-up.\nConclusions:\n This study underscores the safety of ED-initiated buprenorphine and that buprenorphine administration in the ED is feasible and effective.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Behavioral Health",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/1z73c517",
    "frozenauthors": [
        {
            "first_name": "Kathy",
            "middle_name": "T.",
            "last_name": "LeSaint",
            "name_suffix": "",
            "institution": "University of California, San Francisco, Department of Emergency Medicine, San Francisco, California",
            "department": "None"
        },
        {
            "first_name": "Brent",
            "middle_name": "",
            "last_name": "Klapthor",
            "name_suffix": "",
            "institution": "Kaiser Permanente San Diego Medical Center, Department of Emergency Medicine, San Diego, California",
            "department": "None"
        },
        {
            "first_name": "Ralph",
            "middle_name": "C.",
            "last_name": "Wang",
            "name_suffix": "",
            "institution": "University of California, San Francisco, Department of Emergency Medicine, San Francisco, California",
            "department": "None"
        },
        {
            "first_name": "Curtis",
            "middle_name": "",
            "last_name": "Geier",
            "name_suffix": "",
            "institution": "University of California, San Francisco, Department of Clinical Pharmacy, San Francisco, California",
            "department": "None"
        }
    ],
    "date_submitted": "2020-01-07T03:27:13+05:30",
    "date_accepted": "2020-01-07T03:27:13+05:30",
    "date_published": "2020-08-25T02:52:48+05:30",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/13479/galley/7063/download/"
        }
    ]
}