Study examines opiate use in orthopedic trauma patients

June 27, 2013
Study examines opiate use in orthopedic trauma patients
Orthopedic trauma patients with isolated musculoskeletal injuries are significantly more likely than the general population to have used prescription opiates prior to injury, and pre-injury use predicts prolonged postoperative use, according to a study published in the June 19 issue of The Journal of Bone & Joint Surgery.

(HealthDay)—Orthopedic trauma patients with isolated musculoskeletal injuries are significantly more likely than the general population to have used prescription opiates prior to injury, and pre-injury use predicts prolonged postoperative use, according to a study published in the June 19 issue of The Journal of Bone & Joint Surgery.

Joel E. Holman, M.D., from the University of Utah in Salt Lake City, and colleagues queried the Utah Controlled Substance Database to examine usage of prescription opiates three months prior to injury and six months post-injury among 613 patients admitted to the orthopedic trauma service with isolated .

The researchers found that, in the three months prior to injury, 15.5 percent of patients with orthopedic trauma had filled a prescription for opiates, compared with 9.2 percent of the general population (P < 0.001). Significantly more filled more than one prescription pre-injury versus the general population (12.2 versus 6.4 percent). After surgery, 68.4, 11.9, and 19.7 percent of patients filled opiate prescriptions for less than six weeks, for six to 12 weeks, and past 12 weeks, respectively. Pre-injury use of opiates correlated with a six-fold increase in the likelihood of use in the past 12 weeks and with a 3.5-fold increased likelihood of obtaining opiates from a provider other than the surgeon. Advancing age and extent of pre-injury use were risk factors for prolonged use of opiates.

"Patients with orthopedic trauma are significantly more likely than the general population to use prescription opiates prior to injury," the authors write. "Pre-injury opiate use is predictive of prolonged use post- and predictive of patients who will seek from other providers."

One or more authors disclosed financial ties to a third party, in support of an aspect of this work.

Explore further: Posttraumatic stress disorder common after lung injury

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

One in six women at fracture clinics report domestic violence

June 11, 2013

One in six women arriving at orthopedic fracture clinics have been victims of physical, emotional, or sexual violence at the hands of an intimate partner within the past year, and one in 50 arrive as a direct result of intimate ...

Cervical disc-level canal diameter predicts spinal injury

June 13, 2013

(HealthDay)—Disc-level canal diameter determined from magnetic resonance imaging (MRI) can identify patients at risk for acute spinal cord injury (SCI) after minor trauma, according to a study published in the June issue ...

Drug-induced liver injury is on the rise

June 26, 2013

More people are being affected by drug-induced liver injury (DILI) than ever before, according to a new study in Gastroenterology, the official journal of the American Gastroenterological Association. This type of liver injury ...

Have a brain injury? You may be at higher risk for stroke

June 26, 2013

People who have a traumatic brain injury (TBI) may be more likely to have a future stroke, according to research that appears in the June 26, 2013, online issue of Neurology, the medical journal of the American Academy of ...

Recommended for you

Older people getting smarter, but not fitter

August 31, 2015

Older populations are scoring better on cognitive tests than people of the same age did in the past —a trend that could be linked to higher education rates and increased use of technology in our daily lives, say IIASA population ...

Higher intelligence score means better physical performance

August 14, 2015

New research reveals a distinct association between male intelligence in early adulthood and their subsequent midlife physical performance. The higher intelligence score, the better physical performance, the study reveals. ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.