密歇根州阿片类药物使用对工人赔偿索赔成本的影响。

The effect of opioid use on workers' compensation claim cost in the State of Michigan.

机构信息

Medical Management Practices and Strategy, Accident Fund Holdings, Inc, Lansing, MI, USA.

出版信息

J Occup Environ Med. 2012 Aug;54(8):948-53. doi: 10.1097/JOM.0b013e318252249b.

DOI:10.1097/JOM.0b013e318252249b

PMID:22821070

Abstract

OBJECTIVE

To investigate the association between opioid utilization and catastrophic claim (≥$100,000) cost.

METHOD

A total of 12,226 workers' compensation indemnity claims that were opened and closed from January 1, 2006 to February 28, 2010 in the State of Michigan were selected for multivariate logistic regression analyses.

RESULT

Controlling for sex, age, claim duration, number of distinct International Classification of Diseases-Ninth Revision codes per claim, and legal involvement, the presence of short-acting opioids on a claim were 1.76 (95% confidence interval: 1.23 to 2.51) and long-acting opioids 3.94 (95% confidence interval: 2.35 to 6.89) more likely to have a final cost $100,000 or more than a claim without any prescription.

CONCLUSION

The use of opioid medications, particularly long-acting opioid medications, is an independent risk factor for the development of catastrophic claims.

摘要

目的

研究阿片类药物使用与灾难性索赔（≥$100,000）费用之间的关联。

方法

选择密歇根州 2006 年 1 月 1 日至 2010 年 2 月 28 日期间开放和关闭的总共 12226 份工人赔偿理赔。

结果

在控制性别、年龄、索赔持续时间、每份索赔的国际疾病分类第九版代码数量、法律介入的情况下，索赔中存在短效阿片类药物的可能性是 1.76（95%置信区间：1.23 至 2.51），而长效阿片类药物的可能性是 3.94（95%置信区间：2.35 至 6.89），其最终费用达到或超过$100,000 的可能性比没有任何处方的索赔高。