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Substance Abuse rehabilitation

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101. Guidelines for Responsible Opioid Prescribing in Chronic Non-Cancer Pain

or substance abuse, confirmed allergy to opioid agents, ASIPP - Opioid Guidelines 2012 American Society of Interventional Pain Physicians (ASIPP) Guidelines for Responsible Opioid Prescribing in Chronic Non-Cancer Pain: Part 2 - Guidance Pain Physician 2012; 15:S67-S116 • ISSN 1533-3159 From: American Society of Interventional Pain Physicians Complete author affiliations and disclosures listed on pages S98-S100. Address Correspondence: ASIPP 81 Lakeview Drive Paducah, Kentucky (...) to be a “standard of care.” Key words: Chronic pain, persistent pain, non-cancer pain, controlled substances, substance abuse, prescription drug abuse, dependency, opioids, prescription monitoring, drug testing, adherence monitoring, diversion Pain Physician 2012; 15:S67-S116 Pain Physician: Opioid Special Issue 2012; 15:S67-S116 S68 is equivalent to 7.1 kg of opioid medication per 10,000 population or enough to supply every adult American with 5 mg of hydrocodone every 6 hours

2012 American Society of Interventional Pain Physicians

102. Complex Regional Pain Syndrome (CRPS-2011)

. In this situation, it is important to consider the possibility of a missed diagnosis or an unrecognized comorbidity such as a behavioral or substance abuse disorder. 2. Phase Two –Recovery is Not Normal The sooner treatment for suspected CRPS is initiated, the more likely it is that the long term outcome will be good. When recovery is delayed, and if no specific cause for the delay is identified, CRPS may be the diagnosis. Referral to a pain management or rehabilitation medicine specialist is strongly (...) Complex Regional Pain Syndrome (CRPS-2011) Effective October 1, 2011 Hyperlink and Formatting update September 2016 Work-Related Complex Regional Pain Syndrome (CRPS): Diagnosis and Treatment 2011 TABLE OF CONTENTS I. Introduction II. Establishing Work-Relatedness III. Prevention A. Know the Risk Factors B. Identify Cases Early and Take Action C. Encourage Active Participation in Rehabilitation IV. Making the Diagnosis A. Symptoms and Signs B. Three-Phase Bone Scintigraphy C. Diagnostic

2011 Washington State Department of Labor and Industries

103. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease Full Text available with Trip Pro

, asymptomatic patients, cardiac magnetic resonance (CMR), cardiac rehabilitation, chest pain, chronic angina, chronic coronary occlusions, chronic ischemic heart disease (IHD), chronic total occlusion, connective tissue disease, coronary artery bypass graft (CABG) versus medical therapy, coronary artery disease (CAD) and exercise, coronary calcium scanning, cardiac/coronary computed tomography angiography (CCTA), CMR angiography, CMR imaging, coronary stenosis, death, depression, detection of CAD (...) Percutaneous Coronary Intervention ( ) ACCF/AHA/SCAI 2011 Secondary Prevention and Risk Reduction Therapy for Patients With Coronary and Other Atherosclerotic Vascular Disease ( ) AHA/ACCF 2011 UA/NSTEMI: 2007 and 2012 Updates ( , ) ACCF/AHA 2012 Statements NCEP ATP III Implications of Recent Clinical Trials ( , ) NHLBI 2004 National Hypertension Education Program (JNC VII) ( ) NHLBI 2004 Referral, Enrollment, and Delivery of Cardiac Rehabilitation/Secondary Prevention Programs at Clinical Centers

2011 American Heart Association

104. Coronary Artery Bypass Graft Surgery: Guideline For

Rehabilitation: Recommendation e155 4.10. Perioperative Monitoring e156 4.10.1. Electrocardiographic Monitoring: Recommendations e156 4.10.2. Pulmonary Artery Catheterization: Recommendations e156 4.10.3. Central Nervous System Monitoring: Recommendations e156 5. CABG-Associated Morbidity and Mortality: Occurrence and Prevention e157 5.1. Public Reporting of Cardiac Surgery Outcomes: Recommendation e157 5.1.1. Use of Outcomes or Volume as CABG Quality Measures: Recommendations e158 5.2. Adverse Events e159

2011 American College of Cardiology

105. Acute Low Back Pain

Acute Low Back Pain 1 Quality Department Guidelines for Clinical Care Ambulatory Low Back Pain Guideline Team Team leader Anthony E. Chiodo, MD Physical Medicine & Rehabilitation Team members David J. Alvarez, DO Family Medicine Gregory P. Graziano, MD Orthopedic Surgery Andrew J. Haig, MD Physical Medicine & Rehabilitation R. Van Harrison, PhD Medical Education Paul Park, MD Neurosurgery Connie J. Standiford, MD General Internal Medicine Consultant Ronald A. Wasserman, MD Anesthesiology, Back (...) , cigarettes Pain Experience • Rate pain as severe • Maladaptive pain beliefs (e.g., pain will not get better, invasive treatment is required) • Legal issues or compensation Premorbid Factors • Rate job as physically demanding • Believe they will not be working in 6 months • Don’t get along with supervisors or coworkers • Near to retirement • Family history of depression • Enabling spouse • Are unmarried or have been married multiple times • Low socioeconomic status • Troubled childhood (abuse, parental

2011 University of Michigan Health System

106. Diagnosis and Management of Cerebral Venous Thrombosis Full Text available with Trip Pro

(eg, thrombophilias, inflammatory bowel disease), transient situations (eg, pregnancy, dehydration, infection), selected medications (eg, oral contraceptives, substance abuse), and unpredictable events (eg, head trauma) are some predisposing conditions. , Given the diversity of causes and presenting scenarios, CVT may commonly be encountered not only by neurologists and neurosurgeons but also by emergency physicians, internists, oncologists, hematologists, obstetricians, pediatricians, and family

2011 Congress of Neurological Surgeons

107. Erectile Dysfunction

be a standard of care in any encounter in which conditions are discussed or interventions contemplated that may influence a man's sexual life. Medical, sexual, and psychosocial history . The etiology of ED is often multifactorial. General medical history factors to consider when a man presents with ED are age, comorbid medical and psychological conditions, prior surgeries, medications, family history of vascular disease, and substance use. Common risk factors for ED include vascular disease, tobacco use

2018 American Urological Association

108. 2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery

Patients .e683 4.9. Cardiac Rehabilitation: Recommendation .e683 4.10. Perioperative Monitoring .e684 Hillis et al 2011 ACCF/AHA CABG Guideline e653 Downloaded from by on March 27, 20194.10.1. Electrocardiographic Monitoring: Recommendations .e684 4.10.2. Pulmonary Artery Catheterization: Recommendations .e684 4.10.3. Central Nervous System Monitoring: Recommendations .e684 5. CABG-Associated Morbidity and Mortality: Occurrence and Prevention .e685 5.1. Public Reporting

2011 American Heart Association

109. Treatment and recommendations for homeless people with Diabetes Mellitus

in judging the success of out-patient monitoring and patient ability to self care and self- refer upon worsening. TREATMENT AND RECOMMENDATIONS FOR PATIENTS WHO ARE HOMELESS WITH DIABETES MELLITUS 15 ? Ongoing substance abuse is very high risk for poor attention to progression of infection and ability to self-refer for care upon worsening. ? Some symptoms of mental illness (e.g. paranoia, apathy, delusion) also can be barriers to self-care and ability to self-refer upon worsening. ? Offering post (...) with the clinic, he was not taking any insulin and his underlying schizophrenia and substance abuse were untreated. In addition, he was actively huffing carburetor fluid routinely. He made nearly weekly visits to the emergency department for diabetic ketoacidosis and altered mental status, requiring several inpatient admissions. Over several months the patient engaged with services and was actively followed by the mental health team. Following several medical complications, including bilateral leg fractures

2013 National Health Care for the Homeless Council

110. An Update of Comprehensive Evidence-Based Guidelines for Interventional Techniques in Chronic Spinal Pain - Part 1 - Introduction and General Considerations

- ability secondary to spinal pain is enormous (174-180). The proportion of disabled individuals, along with costs related to disability, is increasing in the United States. Disability manifests as physical and psychological im- pairment in chronic pain patients. Opioid effectiveness, use, abuse, and related fatali- ties have been well described (46,47,181-211). Evidence illustrates that opioid prescriptions have been escalat- ing at a rapid rate, and opioid-related fatalities amount to 60% of deaths (...) from appropriate prescriptions for chronic pain compared to 40% due to abuse, with all deaths exceeding deaths due to motor vehicle injuries. A direct correlation has been established among opi- oid-related deaths, treatments, and admissions, along with opioid-related sales. The opioid epidemic has not only been an issue for the United States; it is a global issue as well. Figure 2 illustrates rates of opioid pain re- liever overdose deaths from 1999 to 2010 in the United States (212). 3.2

2013 American Society of Interventional Pain Physicians

112. Guidelines for the Ethical Practice of Anesthesiology

and the medical issues involved. Anesthesiologists should not use their medical skills to restrain or coerce patients who have adequate decision-making capacity. 3. Anesthetized patients are particularly vulnerable, and anesthesiologists should strive to care for each patient’s physical and psychological safety, comfort and dignity. Anesthesiologists should monitor themselves and their colleagues to protect the anesthetized patient from any disrespectful or abusive behavior. 4. Anesthesiologists should keep (...) and efficiency of medical care. 4. Anesthesiologists should advise colleagues whose ability to practice medicine becomes temporarily or permanently impaired to appropriately modify or discontinue their practice. They should assist, to the extent of their own abilities, with the re-education or rehabilitation of a colleague who is returning to practice. 5. Anesthesiologists should not take financial advantage of other physicians, nonphysician anesthesia providers or staff members. Verbal and written contracts

2013 American Society of Anesthesiologists

113. 2012 ACCF/AHA/ACR/SCAI/SIR/STS/SVM/SVN Key Data Elements and Definitions for Peripheral Atherosclerotic Vascular Disease

) Treatment for alcohol dependency For patients with alcohol dependency, note treatment for dependency, cessation of use, or continued use. Illicit drug use Indicate history of current, recent, or remote abuse of any illicit drug (eg, cocaine, methamphetamine, marijuana) or controlled substance. Choose 1 of the following: ? Yes ? No Evidence of Atherosclerosis History of MI The term myocardial infarction should be used when there is evidence of myocardial necrosis in a clinical setting consistent (...) 2012 ACCF/AHA/ACR/SCAI/SIR/STS/SVM/SVN Key Data Elements and Definitions for Peripheral Atherosclerotic Vascular Disease A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Clinical Data Standards (Writing Committee to Develop Clinical Data Standards for Peripheral Atherosclerotic Vascular Disease) Developed in Collaboration With the American Association of Cardiovascular and Pulmonary Rehabilitation, American Academy of Neurology, American Association

2012 Society for Cardiovascular Angiography and Interventions

114. Attention-Deficit Hyperactivity Disorder

). ? School interventions: children with ADHD may qualify for a 504 education plan or special education services with individualized education plan (IEP) [ID] (see Appendices A3 & A4). Special Populations or Circumstances Special considerations apply to: 3-5 year olds, adolescents and adults, head-injured, intellectually disabled/autistic, fetal alcohol syndrome, and substance-abusing patients (see Appendix B3). Controversial Areas Common myths. Several common beliefs related to ADHD are untrue, e.g (...) to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition (e.g., hyperthyroidism). F. The disturbance is not better explained by another mental disorder (e.g., anxiety or worry about having panic attacks in panic disorder, negative evaluation in social anxiety disorder [social phobia], contamination or other obsessions in obsessive-compulsive disorder, separation from attachment figures in separation anxiety disorder, reminders of traumatic events

2013 University of Michigan Health System

115. An Update of Comprehensive Evidence-Based Guidelines for Interventional Techniques in Chronic Spinal Pain - Part 2 - Guidance and Recommendations

, along with related fatalities contributing to 60% of the deaths from appropriate prescriptions for chronic pain compared to 40% due to abuse, with all deaths exceeding the deaths due to motor vehicle injuries (91,92,101,137) (Fig. 2). Fur- ther, a direct correlation has been established with the increase in opioid-related deaths, treatments, and admis- sions, along with opioid related sales in the United States and across the globe (87,101,137). Exploding health care costs are a major issue (...) , to provide a set of recommendations that can support existing and future guidelines to provide appropriate strategies to manage chronic spinal pain and improve the quality of clinical care. The membership consists of multiple specialties across the globe even though it is an American society. The majority of the specialists include interventional pain physicians derived from the primary specialities of anesthesiology, physical medi- cine and rehabilitation, and neurology and psychiatry. There has been

2013 American Society of Interventional Pain Physicians

116. Thoracic Aortic Disease: Guidelines For the Diagnosis and Management of Patients With

substance and connective tissue. Media: bounded by an internal elastic lamina, a fenestrated sheet of elastic ?bers; layers of elastic ?bers arranged concentrically with interposed smooth muscle cells; bounded by an external elastic lamina, another fenestrated sheet of elastic ?bers. Adventitia: resilient layer of collagen containing the vasa vasorum and nerves. Some of the vasa vasorum can penetrate into the outer third of the media. 2.2. Normal Thoracic Aortic Diameter In 1991, the Society

2010 American College of Cardiology

117. Providing patient and caregiver training

,age-specific,pain,ormedication adverse effects 3,8,9,15,16 ) 7.1.3 Inability to comprehend or lack of aware- ness due to factors such as anxiety, depression, hypoxemia, substance abuse. This may include denial. 9,17,18 7.1.4 Negative response to past educational ex- periences or encounters 8,15 7.1.5 Lack of health literacy, despite level of ed- ucation completed. 19-23 This may include func- tionalilliteracyindealingwiththehealthcarepro- cess. 22 7.1.6Amindsetthatleadstomisapplication,mis (...) for the prevention and treatment of a cardiopulmonary medical condition. PCGT 3.0 SETTINGS Patient,family,andcaregivertrainingsettingsinclude,but are not limited to: 3.1 Acute care hospital RESPIRATORY CARE •JUNE 2010 VOL 55 NO 6 7653.1.1 Patient’s room 3.1.2 Designated teaching area or learning center 3.1.3 Pulmonary rehabilitation department 3.2 Out-patient rehabilitation center 3.3 Patient’s home 3.4 Physician’s office or clinic 3.5 Extended care or skilled nursing facility 3.6 Patient support group meetings

2010 American Association for Respiratory Care

118. Medical Training to Achieve Competency in Lifestyle Counseling: An Essential Foundation for Prevention and Treatment of Cardiovascular Diseases and Other Chronic Medical Conditions: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

implications be incorporated into the medical education model: (1) lifestyle risk factor assessment and management and (2) motivational interviewing for conditions such as weight management and eating disorders, tobacco use, and substance abuse. The objective for learning outcomes that students should achieve by graduation was defined as follows: “Provide patient-centered behavioral guidance and explain the appropriate theoretical model that supports the approach.” The Liaison Committee on Medical (...) expertise when appropriate The centerpiece of effective behavioral counseling is a patient-centered approach, whereby providers collaborate with patients to help them create plans to reach their own goals. Motivational interviewing is a specific form of patient-centered counseling originally developed to treat substance abuse that also has been applied successfully to foster health behavior changes. , The core counseling strategy is to avoid commanding language and instead to ask open-ended questions

2016 American Heart Association

119. Palliative Care and Cardiovascular Disease and Stroke: A Policy Statement From the American Heart Association/American Stroke Association

ventricular assist device (VAD) certification. Specifically, The Joint Commission requires involvement of palliative care specialists for patients undergoing VAD implantation as destination therapy; programs have used this as an opportunity to integrate palliative care into the care of all MCS patients. Integration of palliative care with the care of stroke patients varies, depending on the extensiveness of the stroke and the stage after stroke, from the acute phase to recovery, long-term rehabilitation (...) all portend a poor prognosis. Submaximal exercise testing also predicts mortality in ambulatory patients with HF. Additionally, cognitive impairment is a predictor of mortality in HF and may affect self-care ability. Social environmental factors such as income, disability status, Medicaid insurance, unmarried status, living alone or at a distance from hospital care, and history of alcohol or drug abuse are independent predictors of poor outcomes, including survival in advanced HF. In the REMATCH

2016 American Heart Association

120. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults

and Obesity e28 5.2.2. Sodium Intake e29 5.2.3. Potassium e29 5.2.4. Physical Fitness e29 5.2.5. Alcohol e29 5.3. Childhood Risk Factors and BP Tracking e31 5.4. Secondary Forms of Hypertension e32 5.4.1. Drugs and Other Substances With Potential to Impair BP Control e32 5.4.2. Primary Aldosteronism e32 5.4.3. Renal Artery Stenosis e34 5.4.4. Obstructive Sleep Apnea e34 6. Nonpharmacological Interventions e35 6.1. Strategies e35 6.2. Nonpharmacological Interventions e35 7. Patient Evaluation e38 7.1

2017 American Heart Association


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