补偿澳大利亚工人腰部疼痛的阿片类药物分配剂量的纵向模式:为期3.5年的随访研究
Xinyi Ren1, Ting Xia1, Stephanie Mathieson2
1Monash Addiction Research Centre, Eastern Clinical School, Monash University.
Pain medicine (Malden, Mass.)
|March 4, 2025
概括
在工人赔偿金中患有腰部疼痛的工人,接受过 gabapentinoids,抗抑郁药物或接受过手术,更有可能长期使用高剂量的阿片类药物. 较低的社会经济地位也与持续的阿片类药物使用有关.
科学领域:
- 职业健康 职业健康 职业健康
- 疼痛管理 疼痛管理
- 药理学 药理学是指药理学的学科.
背景情况:
- 腰部疼痛 (LBP) 是一个常见的工作场所伤害.
- 在工人赔偿设置中,用于LBP的阿片类药物使用需要了解发放模式和风险因素.
研究的目的:
- 在LBP的工人中确定纵向阿片类药物分发模式.
- 探索高剂量和持续使用阿片类药物的风险因素.
主要方法:
- 劳动者对LBP (2010-2016) 的赔偿索赔的纵向研究,随访3.5年.
- 轨迹建模以确定阿片类药物开放模式.
- 后勤回归分析工人特征和阿片类药物使用.
主要成果:
- 14,703个LBP索赔中的33.1%涉及阿片类药物开放.
- 确定了六种不同的阿片类药物开放模式.
- 更高的社会经济地位与更低的升级至高剂量阿片类药物风险有关.
- 加巴类药物和抗抑郁药的处方,以及手术,显著增加了长期使用高剂量的阿片类药物的风险.
结论:
- 较低的社会经济地位,并发的 gabapentinoid 或抗抑郁药物处方,以及之前的手术与持续的阿片类药物使用有关.
- 识别这些风险因素可以指导早期干预,以预防阿片类药物依赖和伤害.
更多相关视频
04:42Treating Low Back Pain in Failed Back Surgery Patients with Multicolumn-lead Spinal Cord Stimulation
Published on: June 26, 2018
14.5K
06:31Quantitative [18F]-Naf-PET-MRI Analysis for the Evaluation of Dynamic Bone Turnover in a Patient with Facetogenic Low Back Pain
Published on: August 8, 2019
7.2K
相关概念视频
Opioid Analgesics: Synthetic and Semisynthetic Opioids
204
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
204
Analgesia and Pain Management
422
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
422
Opioid Analgesics: Morphine and Other Natural Cogeners
160
Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
160
Prescription, Nonprescription and Orphan Drugs
677
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
677
Drug Dosage Regimen: Overview
3.4K
A drug dosage regimen describes the specific instructions and schedule for administering a drug to a patient. It considers factors such as drug dosage, frequency, route of administration, and duration of treatment. Designing an appropriate dosage regimen for a patient aims to achieve a target drug concentration at the site of action.
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
3.4K
