Abstract

Patient comfort is a priority in the Intensive Care Unit (ICU). Narcotics are used to ensure optimal comfort and to facilitate patient management, including mechanical ventilation and other interventions. Previous studies indicate that chronic pain is common for an extended period after ICU discharge [1]. However, little data is available on the use of narcotic medications before and after ICU admission. We sought to describe narcotic use in this population over a multi-year time period.

Highlights

  • Patient comfort is a priority in the Intensive Care Unit (ICU)

  • Is ICU admission associated with chronic narcotic use? a 4-year follow up of ICU survivors

  • We found an increase in patients in the naïve category from 87.8% in the early post-ICU period to 95.6% at 48-month follow-up with a corresponding decreasing trend in intermittent (8.6% to 2.6%) and chronic (3.6% to 1.8%) narcotic usage, respectively

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Summary

Objectives

To describe narcotic use before and after ICU admission, and to identify factors associated with chronic narcotic use up to 4 years after ICU discharge

Methods
Results
Conclusion
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