Dose Escalations Among Workers' Compensation Claimants Using Opioid Medications-An 8 Year Postinjury Follow up Study.
J Occup Environ Med
; 65(8): e558-e564, 2023 08 01.
Article
em En
| MEDLINE
| ID: mdl-37231640
ABSTRACT
OBJECTIVE:
The aim of the study is to determine the morphine equivalent dose in milligrams (MED)/day escalation trend after initial utilization.METHODS:
A total of 25,108 lost time claims filed between 1998 and 2007 were followed for 8 years from injury date. Claims were stratified by initial MED/day at 3 months after injury into four groups (0, 1 to < 15, 15 to < 30, and ≥30 MED/day). The slopes in MED/year of opioid dose escalation were determined for each initial MED/day group.RESULTS:
The slopes of MED/day escalation by initial MED categories were similar ( P ≥ 0.05) ranging from 5.38 to 7.76 MED annually. On average, MED/day increased in a liner pattern with a slope at 6.28 MED/year ( P < 0.01).CONCLUSIONS:
Opioid MED/day increased in a linear pattern, regardless of initial MED/day dose.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Traumatismos Ocupacionais
/
Analgésicos Opioides
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article