阿片类药物和精神药物的使用与工伤赔偿费用及误工时间的关联。
The association of the use of opioid and psychotropic medications with workers' compensation claim costs and lost work time.
作者信息
Tao Xuguang Grant, Lavin Robert A, Yuspeh Larry, Weaver Virginia M, Bernacki Edward J
机构信息
From the Department of Medicine (Drs Tao and Bernacki), Division of Occupational and Environmental Medicine, Johns Hopkins University School of Medicine; Department of Neurology (Dr Lavin), University of Maryland School of Medicine, Baltimore; Department of Strategic Risk and Strategy Management (Mr Yuspeh), Louisiana Workers' Compensation Corporation; and Department of Environmental Health Sciences and Medicine (Dr Weaver), Johns Hopkins University Medical Institutions, Baltimore, Md.
出版信息
J Occup Environ Med. 2015 Feb;57(2):196-201. doi: 10.1097/JOM.0000000000000333.
OBJECTIVE
To study the relationship between the use of psychotropic and opioid medications with workers' compensation disability and costs.
METHODS
The study population included lost time claimants injured between 1999 and 2002 followed to closing in December 31, 2009.
RESULTS
Controlling for age, sex, marital status, attorney involvement, and spinal surgeries, multivariate logistic regression revealed that odds ratios (95% confidence interval) of claim costs ≥$100,000 compared with claimants who were never prescribed opioids were 4.3 for short-acting opioids only; 8.6 for any use of long-acting opioids; 2.8 for any use of hypnotics; 2.6 for any use of antipsychotics; 1.6 for any use of anti-anxiety agents; and 2.9 for any use of antidepressants.
CONCLUSIONS
The use of psychotropic and opioid medications was associated with high workers' compensation costs and prolonged disability.
目的
研究精神药物和阿片类药物的使用与工伤赔偿残疾及费用之间的关系。
方法
研究人群包括1999年至2002年受伤的误工索赔者，随访至2009年12月31日结案。
结果
在控制年龄、性别、婚姻状况、律师参与情况和脊柱手术因素后，多因素逻辑回归显示，与从未开具过阿片类药物的索赔者相比，索赔费用≥10万美元的比值比（95%置信区间）为：仅使用短效阿片类药物时为4.3；使用过任何长效阿片类药物时为8.6；使用过任何催眠药时为2.8；使用过任何抗精神病药物时为2.6；使用过任何抗焦虑药物时为1.6；使用过任何抗抑郁药物时为2.9。
结论
精神药物和阿片类药物的使用与高额工伤赔偿费用及长期残疾有关。
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