| Predictors of pain medication use after percutaneous liver biopsy. | |
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MedLine Citation:
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PMID: 12395885 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The aim of this study is to identify risk factors for analgesic use following liver biopsy. In all, 121 consecutive biopsies were examined prospectively. Five variables were selected that might predict analgesia use: (1) anxiety, (2) request for sedation, (3) chronic use of addictive medications, (4) previous intravenous drug use, and (5) analgesia requirement with previous biopsies. Analgesia and narcotic requirement after liver biopsy were 35% and 15%, respectively. There was a lower average age (43 vs 47) (P = 0.03) and a higher Knodell score (7.2 vs 5.8) (P = 0.04) in those that required analgesics. The diagnosis of HCV (P = 0.007), previous intravenous drug abuse (IVDA) (P = 0.0001), request for medications before biopsy (P = 0.02), anxiety expressed (P = 0.0002), and chronic use of addictive medications (P = 0.03) predicted analgesia use. Previous IVDA (OR 9.3) and anxiety (OR 3.9) are predictive of pain medication use. In conclusion, patient characteristics play an important role in pain medication requirement after liver biopsy. If pain after liver biopsy is to be reduced, one has to understand the predisposing factors. Further studies utilizing behavior modification are warranted. |
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Authors:
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Thomas R Riley |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Digestive diseases and sciences Volume: 47 ISSN: 0163-2116 ISO Abbreviation: Dig. Dis. Sci. Publication Date: 2002 Oct |
Date Detail:
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Created Date: 2002-10-24 Completed Date: 2002-11-08 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7902782 Medline TA: Dig Dis Sci Country: United States |
Other Details:
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Languages: eng Pagination: 2151-3 Citation Subset: AIM; IM |
Affiliation:
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Department of Medicine, The Hershey Medical Center, Pennsylvania State University College of Medicine, 17033, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Analgesics / administration & dosage*, adverse effects Analgesics, Opioid / administration & dosage*, adverse effects Anxiety / psychology Biopsy, Needle / psychology* Female Humans Liver / pathology* Liver Diseases / pathology*, psychology Male Middle Aged Opioid-Related Disorders / psychology Pain Measurement Pain, Postoperative / drug therapy, psychology* Risk Factors Sick Role Substance Abuse, Intravenous / psychology |
| Chemical | |
Reg. No./Substance:
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0/Analgesics; 0/Analgesics, Opioid |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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