Rocky Mountain Center for Occupational and Environment Health, Department of Family and Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Scholl and Dr Thiese); Department of Family and Preventive Medicine (Handy), Salt Lake City, Utah (Dr Handy).
J Occup Environ Med. 2022 Apr 1;64(4):314-319. doi: 10.1097/JOM.0000000000002423. Epub 2021 Oct 28.
This study examines the relationship between opioid use prevalence and subsequent filing of workers' compensation claims.
A retrospective cohort study design was utilized to examine data from drivers' initial commercial driver medical exam, employment data, and workers' compensation claims data.
Data from 57,733 over 7 years were analyzed. Drivers who reported opioid use at their initial medical exam visit filed subsequent workers' compensation claims 1.81 times sooner (P = 0.0001; 95% CI 1.34, 2.44) than drivers who did not report opioid use at their CDME when controlling for age, gender, BMI, and diastolic blood pressure.
These findings provide information that may aid in improving regulations to control for incidents, training programs to inform professional drivers of factors that increase accident risk and educating prescribers about increased risks of injury among opioid-using drivers.
本研究旨在探讨阿片类药物使用流行率与随后提出工人赔偿申请之间的关系。
采用回顾性队列研究设计，对驾驶员首次商业驾驶人员医疗检查、就业数据和工人赔偿申请数据进行了研究。
对超过 7 年的 57733 名驾驶员的数据进行了分析。与首次 CDME 检查时未报告阿片类药物使用的驾驶员相比，报告阿片类药物使用的驾驶员提出后续工人赔偿申请的时间早了 1.81 倍（P=0.0001；95%CI 1.34，2.44），在控制年龄、性别、BMI 和舒张压后。
这些发现提供了可能有助于改善法规以控制事故、培训计划以告知专业驾驶员增加事故风险的因素以及教育处方者了解阿片类药物使用者驾驶员受伤风险增加的信息。
