Table S1. Classification of medications Medication Class

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Table S1. Classification of medications
Medication Class
Medications that may have been taken by at least one patient in study
Opioid analgesics
codeine and codeine containing analgesics, fentanyl transdermal and
fentanyl infusions, hydrocodone containing analgesics, hydromorphone,
methadone (when given for a pain), morphine IR and morphine SR,
oxycodone IR, oxycodone SR and oxycodone containing analgesics,
propoxyphene and propoxyphene containing analgesics, tramadol and
tramadol containing analgesics
Neuroleptic
amitriptyline, carbamazepine, desipramine, duloxetine, gabapentin,
analgesics
lamotrigine, levetiracetam, oxcarbazepine, phenytoin, pregabalin, tiagabine,
topiramate, valproic acid, venlefaxine, zonisamide
Non-opioid/nonaspirin (not 81mg), acetaminophen, baclofen, carisoprodol, celecoxib,
neuroleptic
cyclobenzaprine, diclofenac, glucosamine/chondroiten, ibuprofen,
analgesics
indomethacin, metaxalone, naproxen, orphenadrine, sulindac, tizanadine,
any combination analgesic with these agents provided it was not opioid
containing
Table S2. Specific ER Diagnoses for Opioid and Non-opioid cohorts.
Opioid Cohort (N = 86)
Patient ID Diagnosis
3 Back pain
4 Left before seen
4 Fall with hip fracture
5 Hip pain
14 Abdominal pain
14 Abdominal pain
17 Chest Pain
20 Skin abscess
20 Nausea and vomiting
20 Rash
20 Pneumonia
20 Chronic pain
20 Kaposi's sarcoma
20 Wound check
20 Leg pain
28 Left before seen
28 Allergic reaction
31 Pulmonary embolism
33 Gastrointestinal bleed
34 Back pain
34 Back pain
35 Pneumonia
35 Rule out tuberculosis
36 Right ear problem
36 Cervical Strain
39 Flank pain
39 Shortness of breath
39 Knee pain
43 Pneumonia
43 Alcohol withdrawal
43 Back injury
43 Flank pain
43 Pneumonia
43 Back pain
44 Rash
48 Buttocks infection
48 Abdominal pain
Non-opioid cohort (N = 85)
Patient ID Diagnosis
24 Abdominal pain
24 Narcotic request
24 Abdominal pain
24 Cellulitis
71 Epididymitis
71 Ankle sprain
71 Epididymitis
71 Upper respiratory tract infection
78 Seizure
78 Back pain
78 Altered Mental Status
78 Foreign body in rectum
78 Foreign body in rectum
78 Seizure
78 Seizure
78 Seizure
78 Shortness of breath
78 Suicidal
86 Tinea
92 Cellulitis
101 Epididymitis
116 Graves Flare
139 Groin pain
139 Anxiety
139 Abscess
139 Rectal problem
139 Anxiety
139 Abscess
139 Abscess
169 Cocaine use
175 Cellulitis
185 Rib pain
185 Chest pain
206 Fainted
206 Red eye
206 Cellulitis
206 Suicidal
48
48
49
72
79
80
84
84
84
84
84
184
204
215
215
215
265
Chest pain
Abscess
Muscle spasm
Right sided endocarditis
Assault
Allergic reaction
Pneumonia
Callus on toe
Pain
Cough
Tendon laceration
Pancreatitis
Vomiting
Asthma
Chest pain
Motor vehicle accident
Chest pain
227
242
246
246
256
256
256
256
256
256
313
316
316
316
316
316
324
285
336
373
399
Itching
Chest pain
Epidural abscess
Assault
361
362
362
364
556 Upper respiratory infection
Abdominal pain, left against
606 medical advise
606 Schizophrenia
662 Fever
662 Diarrhea
662 Vomiting
662 Vomiting
662 Vomiting
662 Hypokalemia
662 diarrhea
749 Clostridium difficile
749 Clostridium difficile
749 Clostridium difficile
749 Nausea and vomiting
749 Clostridium difficile
749 Shingles
755 Fever
Pancreatitis
SBO
Unstable angina
Pneumonia
Skin abscess
Skin abscess
Skin abscess
Wound check
Infusion reaction
Skin abscess
Epididymitis / orchitis
Facial contusion
Upper respiratory tract infection
Scrotal abscess
Scrotal abscess
Assault
Pneumonia
Chronic obstructive pulmonary
disease exacerbation
Headache
Headache
Otitis media
404 Syncope
404
409
413
473
473
473
473
500
500
500
511
514
527
561
688
688
Cellulitis
Chest pain
Rash
Suicidal ideation
Suicidal ideation
Suicidal ideation
Back pain
Seizure
Altered mental status
Dehydration
Upper respiratory tract infection
diarrhea
Upper respiratory tract infection
Wrist sprain
Compression fracture
Compression fracture
763
788
817
949
949
949
949
949
992
992
992
Chronic pain, medication refill
Pneumonia
Alcohol intoxication
Foot callus
Foot pain
Laceration of hand
Cough
Pneumonia
Shortness of breath
Altered mental status
Chest pain
696
696
696
696
698
704
724
803
845
999
Nausea and vomiting
Chest pain
Nausea and vomiting
Nausea
Eye keratitis
AIDS rule out infection
Back pain
Chest pain
Abdominal pain
Dehydration
Table S3. Specific Hospital Diagnoses for Opioid and Non-opioid cohorts.
594
594
634
634
Opioid cohort
Hospital Diagnosis
Gastroenteritis
Pneumonia
Clostridium difficile
Cellulitis
Pulmonary embolism
Total hip arthroplasty surgery
AVN Surgery
Altered mental status
QT Prolongation
Pneumonia
Back surgery
Pneumonia
Pneumonia
Pneumonia
Buttox infection
Right sided endocarditis
AVN Surgery
Pneumonia
Pancreatitis
Pulmonary embolism
Pneumonia
Atypical Chest pain
Obstructing gastric ulcer
Epidural abscess
Agitations secondary to
substance abuse
Dehydration
Feeling poorly
Ascites
662
662
662
662
662
Diarrhea
Diarrhea/vomiting
Central line infection
Diarrhea/vomiting
Failure to thrive
Patient ID
14
20
20
30
31
31
31
35
35
35
43
43
43
48
48
72
83
84
184
285
286
336
343
373
662 Failure to thrive
Patient ID
24
24
24
78
78
78
78
131
175
227
242
246
246
256
256
316
324
362
404
404
500
500
500
597
600
688
696
696
704
724
770
770
845
Non-opioid cohort
Hospital Diagnosis
Endocarditis
Abdominal pain
Nausea and vomiting
Seizure
Seizure
Foreign body in rectum
Altered mental status
Pregnancy
Cellulitis
Pancreatitis
Small bowel obstruction
Unstable angina
Pneumonia
Skin abscesses
Fe infusion reaction
Scrotal abscess/cellulitis
Pneumonia
Overmedication
Cellulitis
Syncope
Altered mental status
Seizure
Altered mental status
Carotid endarterctomy
Coronary artery disease, stenting
compression fracture
Viral gastroenteritis
Pneumocystis pneumonia
Neck fullness
Spastic paraparesis
Pneumocystis pneumonia
Diarrhea
Hypotension
Disseminated Mycobacterium avium
845 intracellulare complex
662
662
662
749
749
749
749
749
749
749
749
755
788
949
992
992
992
Hypokalemia
Diarrhea
Diarrhea
Clostridium difficile
Varicella zoster, disseminated
Altered Mental status
Clostridium difficile
Diarrhea
Clostridium difficile
Klebsiella pneumonia
bacteremia
Clostridium difficile
Fever of unknown origin
Bronchitis
Pneumonia
Right breast abscess
Gastroenteritis
Altered Mental status
845
914
932
999
1094
Disseminated Mycobacterium avium
intracellulare complex
Pneumonia
Bursitis
Failure to thrive
Influenza Pneumonia
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