加拿大曼尼托巴省因获得赔偿的工伤赔偿申请而使用阿片类药物的比例。
Proportion of opioid use due to compensated workers' compensation claims in Manitoba, Canada.
作者信息
Kraut Allen, Shafer Leigh Anne, Raymond Colette B
机构信息
Department of Internal Medicine, University of Manitoba; Department of Community Health Sciences, University of Manitoba.
出版信息
Am J Ind Med. 2015 Jan;58(1):33-9. doi: 10.1002/ajim.22374. Epub 2014 Aug 21.
BACKGROUND
This study identifies the percentage of opioids prescribed for compensated workplace conditions in Manitoba, Canada and whether Workers Compensation Board (WCB) status is associated with higher prescription opioid doses.
METHODS
Opioid prescriptions for WCB recipients were linked with databases housed at the Manitoba Center for Health Policy. Duration of continuous opioid prescription and morphine equivalents (ME) per day (ME/D) were calculated for individuals age 18-65.
RESULTS
Over the period from 1998 to 2010, 3.8% of the total opioid dosage of medication prescribed in the study population were prescribed to WCB recipients. WCB recipients accounted for 2.1% of the individuals prescribed opioids. In adjusted analyses WCB recipients were more likely to be prescribed over 120 ME/D (OR 2.06 95% CI, 1.58-2.69).
CONCLUSIONS
WCB recipients account for a small, but significant amount of the total opioid prescribed in Manitoba. Manitoba's WCB population is a group at increased risk of being prescribed over 120 ME/day.
背景
本研究确定了加拿大曼尼托巴省因工伤获得赔偿的情况下开具阿片类药物的比例，以及工人赔偿委员会（WCB）状态是否与更高的阿片类药物处方剂量相关。
方法
将WCB受助者的阿片类药物处方与曼尼托巴省卫生政策中心的数据库相链接。计算了18至65岁个体的连续阿片类药物处方持续时间和每日吗啡当量（ME）（ME/天）。
结果
在1998年至2010年期间，研究人群中开具的阿片类药物总剂量的3.8%被开给了WCB受助者。WCB受助者占开具阿片类药物个体的2.1%。在调整分析中，WCB受助者更有可能被开具超过120ME/天的药物（比值比2.06，95%置信区间，1.58 - 2.69）。
结论
WCB受助者在曼尼托巴省开具的阿片类药物总量中占比虽小，但数量可观。曼尼托巴省的WCB人群是每天被开具超过120ME药物风险增加的群体。
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