Opioid Poisonings and Opioid Adverse Effects in Workers in Washington State

Details

• Personal Author:
  Bauer AM ; Franklin GM ; Fulton-Kehoe D ; Garg RK ; Sullivan MD ; Turner JA ; Wickizer TM
• Description:
  Objective: To examine trends in opioid poisonings and adverse effects in Washington (WA) State and nationally. Methods: We calculated rates of opioid poisonings and adverse effects and examined opioid prescriptions in the WA workers' compensation system, 2004-2010. Using Health Care Cost and Utilization Project (HCUP), Nationwide Inpatient Sample (NIS) data, we also calculated national rates of opioid poisonings and adverse effects, 1993-2010. Results: We identified 96 opioid poisonings and 312 opioid-related adverse effects in WA, 2004-2010. The rates did not change substantially over these years. Most poisonings and adverse effects occurred in cases without chronic opioid use and with prescribed doses <120 mg/day morphine-equivalent dose. Nationally, the rates of opioid poisonings and adverse effects increased significantly from 1993 to 2010. Conclusions: Many poisonings and adverse effects occurred in patients without high dose or long-term opioid therapy, suggesting that opioid dosing and duration guidelines may not be sufficient to reduce morbidity related to prescription opioid use. [Description provided by NIOSH]
• Subjects:
  Drug Therapy Morbidity Occupational Health Safety
• Keywords:
  Author Keywords: Opioid Drug Therapy Morbidity Rates Nationwide Inpatient Sample Opioid Adverse Effect Opioid Morbidity Opioid Poisoning Prescription Drugs Workers' Compensation Workers Compensation
• ISSN:
  0271-3586
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Ohio ; OSHA Region 10 ; OSHA Region 5 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  56
• Issue:
  12
• NIOSHTIC Number:
  nn:20056434
• Citation:
  Am J Ind Med 2013 Dec; 56(12):1452-1462
• Contact Point Address:
  Deborah Fulton-Kehoe, PhD, 130 Nickerson St., Suite 212 Seattle, WA 98109
• Email:
  debfk@u.washington.edu
• Federal Fiscal Year:
  2014
• Performing Organization:
  University of Washington
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  American Journal of Industrial Medicine
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:a1d7a21c079b06e94dc2ea0bb2374234839e524bb331bc97901148a3ac2a2da9d2278c61a72e429c2a8ab7b202d5c2a7a25784541fc2e3578d100ba64c77353c
• Download URL:
  https://stacks.cdc.gov/view/cdc/214040/cdc_214040_DS1.pdf
• File Type:
  [PDF - 327.23 KB ]