Prescription opioid use by injured workers in Tennessee: a descriptive study using linked statewide databases.
Ann Epidemiol
; 32: 7-13, 2019 04.
Article
em En
| MEDLINE
| ID: mdl-30853149
ABSTRACT
PURPOSE:
This is the first study in Tennessee to measure opioid use in injured workers and among the first nationally to use a prescription drug monitoring program to do so. We conducted a retrospective cohort study to evaluate the prevalence of opioid use after injury and associated characteristics among workers reporting one injury to Tennessee Workers' Compensation.METHODS:
Injured workers identified in Workers' Compensation records 2013-2015 were linked to their prescription history in Tennessee's prescription drug monitoring database.RESULTS:
Among 172,256 injured workers, the prevalence of receiving an opioid after injury was 22.8% in 1 week, 29.7% in 1 month, and 33.3% in 6 months. Receiving an opioid was associated with having a fracture (odds ratio, 4.9; 95% confidence interval, 4.64-5.11 vs. other injuries). Hydrocodone short-acting was the most commonly received opioid (69.5% of injured workers), and the mean of each worker's maximum dose was 42.8 morphine milligram equivalents (SD 39.26). Ten percent of injured workers who received opioids also received a benzodiazepine.CONCLUSIONS:
Injured workers have a high prevalence of opioid use after injury, but prescribing patterns generally tend to follow Tennessee prescribing guidelines.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Prescrições de Medicamentos
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Indenização aos Trabalhadores
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Analgésicos Opioides
/
Transtornos Relacionados ao Uso de Opioides
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article