Le 14/10/2021 de 09:00 à 11:00

Retour Session


Consommation des opioïdes à l’entrée d’un séjour stationnaire de réadaptation professionnelle musculo squelettique : une étude descriptive sur 3761 patients.

michel konzelmann (sion, Suisse), philippe vuistiner (Sion, Suisse), Cyrille Burrus (sion, Suisse), bertrand Léger (Sion, Suisse), François Luthi (sion, Suisse)

Objectif : Opioid consumption is increasing whole world. The aim of this study was to evaluate the consumption of opioids at the beginning of an inpatient stay in vocational rehabilitation and its association with different variables.

Matériel/Patients et méthodes : Retrospective study, prospective data of patients hospitalized over six years. Analgesic drugs at entry: no analgesics (NA), non-opioid analgesics (NOA), opioids (O). Other variables: age, sex, education level, marital status, diploma course, occupational injury or not, native language, injury severity (AIS), trauma location, BMI, pain severity and interference (BPI), comorbidities (CIRS), biopsychosocial complexity (INTERMED). ANOVA or chi-squared tests analysis between the three groups.

Résultats : 3761 patients, 84% male, 44 years (mean), BMI (mean) = 28.5 kg/m2, 57% occupational accidents, 37% Francophone, trauma lower limb: 43%, upper limb: 43%, spine: 14%, minor or moderate severity: 85%. Time since injury:  385 days (median).
NA= 40%, NOA= 40%, O=20%.
NRS pain and interference, biopsychosocial complexity and education level were significantly associated with opioids consumption, but not the lesion severity. The difference was the greatest between NA and O (NRS: 1.6 point, INTERMED: 3 point).  

Discussion - Conclusion : Opioid consumption is high (20%), less than another study in the USA, but higher than in chronic pain population in Switzerland. Analgesics consumption and particularly opioids increases with pain severity and BPS complexity. This should lead us to take a greater interest in this group of patients and to better assess personal and contextual factors. Higher education level was associated with opioid use (the contrary in literature).

Mots clés : Pain-Opioids-vocational rehabilitation-injuries-msuculoskeletal

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