Table 2.
Nursing home residents, % |
||
---|---|---|
Long-acting opioids prescribed without evidence of a short-acting opioid claim in prior 60 days (n = 1,052) | Long-acting opioids prescribed with evidence of a short-acting opioid claim in prior 60 days (n = 11,226) | |
First long-acting opioid | Percentage | |
Buprenorphine | 0.6 | 0.2 |
Transdermal fentanyl | 51.9 | 56.4 |
Hydromorphone | 0.1 | 0.0 |
Morphine sulfate | 28.1 | 23.2 |
Oxycodone | 17.2 | 18.5 |
Oxymorphone | 0.8 | 0.6 |
Tramadol | 1.3 | 1.0 |
Percentage | ||
Buprenorphine | (n = 6) | (n = 24) |
5 MCG/HR | 66.7 | 66.7 |
10 MCG/HR | 33.3 | 25.0 |
20 MCG/HR | 0.0 | 8.3 |
Transdermal fentanyl | (n = 546) | (n = 6,327) |
12 MCG/HR | 26.7 | 25.9 |
25 MCG/HR | 37.8 | 38.6 |
50 MCG/HR | 20.5 | 19.7 |
75 MCG/HR | 8.8 | 8.8 |
100 MCG/HR | 6.4 | 7.0 |
Hydromorphone | (n = 1) | (n = 5) |
8 MG | 0.0 | 40.0 |
12 MG | 0.0 | 20.0 |
16 MG | 100.0 | 40.0 |
Morphine sulfate | (n = 296) | (n = 2,609) |
≤15 MG | 54.0 | 58.1 |
20 – 30 MG | 30.4 | 29.2 |
>30 MG | 15.6 | 12.7 |
Oxycodone | (n = 181) | (n = 2,080) |
≤15 MG | 65.0 | 58.7 |
20 – 30 MG | 20.0 | 27.5 |
>30 MG | 15.0 | 13.8 |
Oxymorphone | (n = 8) | (n = 71) |
5 MG | 50.0 | 11.3 |
7.5 – 10 MG | 12.5 | 18.3 |
15 MG | 0.0 | 9.9 |
20 – 30 MG | 12.5 | 43.7 |
>30 MG | 25.0 | 16.9 |
Tramadol | (n = 14) | (n = 110) |
100 MG | 71.4 | 70.0 |
200 MG | 28.6 | 25.5 |
300 MG | 0.0 | 4.6 |
a Represents the prescription that identified the nursing home resident as having received a long-acting opioid after admission.