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  • Use of and attitudes to the role of medication for acute whiplash injury: A preliminary survey of emergency department doctors

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    Author(s)
    Nikles, Jane
    Keijzers, Gerben
    De Silva, Muthuwahandi Ishan Diluka
    Khan, Subaat
    Sterling, Michele
    Griffith University Author(s)
    De Silva, Diluka
    Year published
    2019
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    Abstract
    Objective: Describe current practice of medication prescribing for acute whiplash-associated disorders (WAD) in the ED and explore attitudes towards pregabalin prescription for WAD. Methods: Questionnaire-based survey in two EDs collected data on demographics and self-reported medication prescribing for WAD. Comfort in various scenarios for pregabalin prescribing was rated. Results: A total of 145/170 (85%) doctors responded; 42.8% were junior doctors. Self-reported medications prescribed were nonsteroidal anti-inflammatory drug (77.9% [95% confidence interval (CI) 70.1–84.2]), paracetamol (75.2% [95% CI 67.2–81.8]), opioids ...
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    Objective: Describe current practice of medication prescribing for acute whiplash-associated disorders (WAD) in the ED and explore attitudes towards pregabalin prescription for WAD. Methods: Questionnaire-based survey in two EDs collected data on demographics and self-reported medication prescribing for WAD. Comfort in various scenarios for pregabalin prescribing was rated. Results: A total of 145/170 (85%) doctors responded; 42.8% were junior doctors. Self-reported medications prescribed were nonsteroidal anti-inflammatory drug (77.9% [95% confidence interval (CI) 70.1–84.2]), paracetamol (75.2% [95% CI 67.2–81.8]), opioids (43.5% [95% CI 35.3–51.9]) and benzodiazepines (11.0% [95% CI 6.6–17.6]). Most were comfortable to prescribe pregabalin in evidence-based or advised-by-specialists scenarios. Conclusions: Opioids appear to be over-prescribed. Further research into pregabalin prescription in ED is warranted.
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    Journal Title
    EMA - Emergency Medicine Australasia
    Volume
    31
    Issue
    3
    DOI
    https://doi.org/10.1111/1742-6723.13190
    Copyright Statement
    © 2018 ACEM and ASEM. This is the peer reviewed version of the following article: Use of and attitudes to the role of medication for acute whiplash injury: A preliminary survey of emergency department doctors, Emergency Medicine Australasia, Volume31, Issue3, June 2019, Pages 471-474, which has been published in final form at https://doi.org/10.1111/1742-6723.13190. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
    Subject
    Clinical sciences
    Health services and systems
    Public health
    Publication URI
    http://hdl.handle.net/10072/382820
    Collection
    • Journal articles

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