Rugg Caitlin M, Cheah Jonathan W, Vomer Rock P, Lau Brian
Department of Orthopedic Surgery, Kaiser Permanente San Jose Medical Center, San Jose, USA.
Department of Orthopedic Surgery, Santa Clara Valley Medical Center, San Jose, USA.
Cureus. 2022 Nov 6;14(11):e31152. doi: 10.7759/cureus.31152. eCollection 2022 Nov.
OBJECTIVE/AIM: The purpose of this study is to determine the rates of prescribed opiate use and misuse among current collegiate athletes.
This was an bservational survey study conducted at a single institution; Division I Collegiate Athletics Department. The participants in the study were current Division I Collegiate Student-Athletes. The survey queried athletes' age, gender, and history of injury or orthopedic surgery before and during college. Athletes were asked about prior opiate prescriptions, length of medication use, and reasons for opiate use.
Of196 student-athlete respondents, the average age was 20.1 years and 62.8% were female. Pre-collegiate orthopedic injuries/surgeries were reported by 45.4% of athletes, of which 40.4% received an opiate prescription. Collegiate orthopedic injuries/surgeries were reported by 28.6% of athletes; 46.4% received an opiate prescription. Fifty-two student-athletes (26.5%) had received an opiate prescription after an orthopedic injury or surgery. The length of opiate use was most commonly 2 weeks or less. Female athletes had a higher rate of collegiate injuries (<0.05) and a nonsignificant trend towards more opiate prescriptions. Among the 26 student-athletes who received collegiate opiate prescriptions, the reasons for taking opiates were most commonly pain (84.6%) and sleep (46.2%). Opiate use outside of prescribed indication was present in 14 athletes (7.1% of the total); 12 were female.
A quarter of collegiate student-athletes had received an opiate prescription due to orthopedic injury or surgery, with a small subset using opiates for non-analgesic functions. Future research should examine risk factors for opiate misuse among collegiate athletes.
本研究旨在确定当前大学生运动员中阿片类药物的处方使用率和滥用率。
这是一项在单一机构(第一分区大学体育系)进行的观察性调查研究。研究参与者为当前的第一分区大学生运动员。该调查询问了运动员的年龄、性别以及大学之前和期间的受伤或骨科手术史。运动员被问及以前的阿片类药物处方、用药时长以及使用阿片类药物的原因。
在196名参与调查的学生运动员中,平均年龄为20.1岁,62.8%为女性。45.4%的运动员报告有大学前骨科损伤/手术史,其中40.4%接受了阿片类药物处方。28.6%的运动员报告有大学期间骨科损伤/手术史;46.4%接受了阿片类药物处方。52名学生运动员(26.5%)在骨科损伤或手术后接受了阿片类药物处方。阿片类药物的使用时长最常见为2周或更短。女运动员的大学期间受伤率更高(<0.05),且在阿片类药物处方方面有不显著的更多趋势。在26名接受大学阿片类药物处方的学生运动员中,使用阿片类药物的原因最常见的是疼痛(84.6%)和睡眠(46.2%)。14名运动员(占总数的7.1%)存在超适应证使用阿片类药物的情况;其中12名是女性。
四分之一的大学生运动员因骨科损伤或手术接受了阿片类药物处方,一小部分人将阿片类药物用于非镇痛功能。未来的研究应调查大学生运动员中阿片类药物滥用的风险因素。