Long-term prescription opioid utilization, substance use disorders, and opioid overdoses after adolescent trauma.

Five-year retrospective study of 736 injured adolescents reveals persistent opioid prescription patterns, with 13% receiving 8+ fills by year four. Within five years post-injury, 14% developed substance use disorders and 8% experienced overdoses, highlighting the critical need for opioid stewardship in adolescent trauma care.