Communication Affichée: Poster tour 2
Le 14/10/2021 de 17:30 à 18:00
Prévalence du tabagisme chez patients en réadaptation professionnelle
Melchior Bachelard (Sion, Suisse), Philippe Vuistiner (Sion, Suisse), Bertrand Leger (Sion, Suisse), François Luthi (Sion, Suisse)
Objective : Smoking is the leading cause of many diseases. Epidemiological surveys have shown a high prevalence of smoking among men, manual workers, people with low socioeconomic status, and people with persistent pain. Our objective was to measure the prevalence of smoking in a population admitted to vocational rehabilitation.
Material / Patients and Methods : Patients admitted to rehabilitation between 18-60 years of age due to persistent pain/disability after musculoskeletal trauma. Smoking measured at entry: Active, Former and Non-smoker. Active and Former smokers were grouped together (AS) and compared to Non-Smokers (NS). At entry, Brief Pain Inventory (BPI), Neuropathic Pain 4 questions (DN4), Hospital and Anxiety scale (HADs), and measurement of analgesic consumption. Retrospective observational study. Significance threshold p <0.05.
Results : A total of 1308 patients were included (mean age 43+/-11, men 81%, median duration of pain/disability 12.6 months, mean severity of pain : 4.6/10). 59% belonged to the AS and 41% to the NS. AS younger (Δ: 2.5y, p<0.01), BMI lower (Δ: 1.7kg/m2, p<0.01). Pain severity was slightly lower in AS (Δ: 0.3/10, p=0.02) but no difference was found for pain interference, HADs and analgesic consumption. Tendency for DN4 to be higher in AS (p=0.08).
Discussion - Conclusion : Our study confirms a high smoking prevalence in this population of manual workers: 59% (18% in the average of OECD countries in 2017). Although pain is statistically lower in AS, this is not accompanied by a decrease in the consumption of analgesics. The implementation of interventions to reduce tobacco consumption in this population appears to be essential.
Keywords : Douleur chronique