DIRE 12+

Riemenrade Studios LLC

Designed for iPad

    • 5.0 • 1 Rating
    • Free

Screenshots

Description

The DIRE Score is a tool that can be used to aid clinicians in their decision-making process when considering prescribing opioids for chronic non-malignant pain. Using the DIRE Score, the clinician rates seven factors each on a scale of 1, 2 or 3 with 1 being the least favorable or highest risk for prescribing opioids and 3 being the most compelling or lowest risk for prescribing.

The seven DIRE factors are: Diagnosis, Intractability, Risk (there are four risk factors—psychological and chemical health, patient reliability and social support/life roles) and Efficacy. Adding the scores for these seven factors gives a total of 7 – 21. A score of 7-13 was predictive of a low probability of success when prescribing opioids; whereas a score of 14-21 was more likely to be associated with a successful prescribing process and outcome.

The DIRE Score does not take into account medical risk factors for opioid prescribing such as comorbid medical conditions (chronic obstructive lung disease, sleep apnea, concomitant use of benzodiazepines, etc.). The clinician should understand that active use of illicit drugs, drug diversion and other aberrant behaviors is incompatible with ongoing opioid prescribing no matter what the DIRE Score may be.

The DIRE Score is not meant to be a substitute for sound clinical judgment in the context of any individual patient. This App is meant for informational use only, and is not intended to aid in the diagnosis, treatment or prevention of disease. Decisions about prescribing are solely the responsibility of the licensed prescriber.

What’s New

Version 1.2

Updates for iOS 15

Thank you for supporting DIRE!

Ratings and Reviews

5.0 out of 5
1 Rating

1 Rating

Algologist ,

Easy to use opioid screening tool!

I have used the DIRE Score and taught about it for years. This app makes it simple, intuitive and lightening fast to calculate a score for patients you know. It is as handy as your phone. I love the red yellow and green buttons that, like traffic signals, guide the clinicians' go no-go decision about long-term prescribing.

littlestbear11 ,

Great tool

This is a great app. It's easy to use and intuitive. Really helps as a guideline when considering opioids. And it's the only tool that isn't a a self report questionnaire filled out by patients, so the kind of bias in that sort of tool just isn't there.

Sid the wall ,

Simple and to the point

Great app. Very useful .

App Privacy

The developer, Riemenrade Studios LLC, indicated that the app’s privacy practices may include handling of data as described below. For more information, see the developer’s privacy policy.

Data Not Collected

The developer does not collect any data from this app.

Privacy practices may vary, for example, based on the features you use or your age. Learn More

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