Prevalence, Patterns, and Outcomes of Opioid Use by Injured Workers in Tennessee
Date
2018-05
Authors
Contributor
Advisor
Department
Instructor
Depositor
Speaker
Researcher
Consultant
Interviewer
Narrator
Transcriber
Annotator
Journal Title
Journal ISSN
Volume Title
Publisher
University of Hawaii at Manoa
Volume
Number/Issue
Starting Page
Ending Page
Alternative Title
Abstract
In this dissertation, three separate but related studies describe opioid use by injured workers in TN, identify patterns of opioid use by injured workers that are associated with nonfatal overdose, and develop a predictive model for the development of long-term opioid use in injured workers who were opioid-free at the time of injury. These studies link statewide databases to connect Workers’ Compensation records of injured workers to their prescription history in TN’s prescription drug monitoring program, hospital and emergency room records in TN’s Hospital Discharge Data System, and death certificates in TN’s Vital Statistics death certificates dataset. In a cross-sectional study, the prevalence of opioid use in injured workers is calculated and Poisson regression is used to assess prevalence ratios of the association between demographic and injury variables with opioid use. In a case-control study, the incidence of nonfatal overdose is calculated and conditional logistic regression is used to examine demographic, injury, and opioid use patterns that are associated with overdose. In a cohort study, unconditional logistic regression is used to build a predictive model of demographic, injury, and opioid use patterns that are associated with the development of long-term opioid use in previously opioid-free injured workers. These studies found that opioid use is widespread in injured workers after injury, but occurs largely within limits set by prescribing guidelines and tends to be discontinued within a month or two. Overdose and the development of long-term opioid use are rare, but affect vulnerable subsets of the population which may benefit from a different prevention and treatment approach than the overall population. These studies were supported by funding from the Centers for Disease Control and Prevention’s Prescription Drug Overdose: Prevention for States program, grant number 5 NU17CE002731-02-00
Description
Keywords
Employees--Wounds and injuries, Opioids--Therapeutic use, Chronic pain--Treatment
Citation
Extent
Format
Geographic Location
Tennessee
Time Period
Related To
Related To (URI)
Table of Contents
Rights
Rights Holder
Local Contexts
Collections
Email libraryada-l@lists.hawaii.edu if you need this content in ADA-compliant format.