Opioid and Benzodiazepine Use Before Injury Among Workers in Washington State, 2012 to 2015
Opioid and Benzodiazepine Use Before Injury Among Workers in Washington State, 2012 to 2015
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DOI：
10.1097/jom.0000000000001346
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发表时间：
2018-09-01
影响因子：
3.2
通讯作者：
Franklin, Gary
中科院分区：
文献类型：
--
作者：
Nkyekyer, Esi W.;Fulton-Kehoe, Deborah;Franklin, Gary
目的：描述工人受伤前处方阿片类药物和苯二氮卓类药物的使用及其与受伤后使用和误工的关系。研究方法：从2012年到2015年，华盛顿州劳工和工业部工人的工伤赔偿索赔共计十一万三千五百四十三件与州处方监测计划数据相关联。受伤前阿片类药物和苯二氮卓类药物使用的流行率进行了比较，可赔偿和不可赔偿的索赔，工人和没有受伤后的处方，使用皮尔逊卡方检验。结果：受伤前90天内阿片类药物和苯二氮卓类药物的使用率分别为8.6%和2.9%。受伤前使用阿片类药物或苯二氮卓类药物的工人更有可能在受伤后分别获得可赔偿的索赔和阿片类药物或苯二氮卓类药物。损伤前长期使用阿片类药物的病例几乎普遍在损伤后接受阿片类药物。结论：伤前阿片类药物和苯二氮卓类药物的使用可能会增加工伤后残疾的风险。
Objective: To characterize pre-injury prescription opioid and benzodiazepine use and its relationship with post-injury use and missed work among workers. Methods: Three hundred thirteen thousand five hundred forty three Washington State Department of Labor and Industries workers' compensation injury claims from 2012 to 2015 were linked with State Prescription Monitoring Program data. Pre-injury prevalence of opioid and benzodiazepine use were compared between compensable and non-compensable claims, and between workers with and without post-injury prescriptions, using the Pearson's chi-squared test. Results: The prevalence of opioid or benzodiazepine use in the 90 days before injury was 8.6% and 2.9%, respectively. Workers with pre-injury opioid or benzodiazepine use were more likely to have compensable claims and be on opioids or benzodiazepines, respectively, after injury. Cases with chronic opioid use pre-injury nearly universally receive opioids post-injury. Conclusions: Pre-injury opioid and benzodiazepine use may increase the risk of disability after work-related injury.