Identification, Management, and Transition of Care for Patients With Opioid Use Disorder in the Emergency Department

Herbert C. Duber, Isabel A. Barata, Eric Cioè-Peña, Stephen Y. Liang, Eric Ketcham, Wendy Macias-Konstantopoulos, Shawn A. Ryan, Mark Stavros, Lauren K. Whiteside

Research output: Contribution to journalReview articlepeer-review

84 Scopus citations

Abstract

Because of a soaring number of opioid-related deaths during the past decade, opioid use disorder has become a prominent issue in both the scientific literature and lay press. Although most of the focus within the emergency medicine community has been on opioid prescribing—specifically, on reducing the incidence of opioid prescribing and examining alternative pain treatment—interest is heightening in identifying and managing patients with opioid use disorder in an effective and evidence-based manner. In this clinical review article, we examine current strategies for identifying patients with opioid use disorder, the treatment of patients with acute opioid withdrawal syndrome, approaches to medication-assisted therapy, and the transition of patients with opioid use disorder from the emergency department to outpatient services.

Original languageEnglish
Pages (from-to)420-431
Number of pages12
JournalAnnals of emergency medicine
Volume72
Issue number4
DOIs
StatePublished - Oct 2018

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