- Injured workers who received a ≥20-day supply of opioids were significantly more likely to develop long-term opioid use than patients who received
- Other risk factors included visiting ≥3 prescribers within 90 days of injury, receipt of a long-acting opioid within 30 days of injury, concomitant opioid and benzodiazepine prescriptions, and maximum morphine milligram equivalents (MMEs) received within 30 days of injury.
Why this matters
- This is the first known study to examine the factors associated with increased risk of long-term opioid use among injured workers.
- Study of 46,399 opioid-free injured workers (age, 15-99 years) during 2013-2015.
- Funding: US Centers for Disease Control and Prevention Prescription Drug Overdose.
- 4.0% of workers reported long-term opioid use.
- Risk for long-term opioid use significantly increased with:
- ≥20 days opioid supply vs ˂5 days’ supply (OR, 28.94; P<.001>
- 5-9 vs
- Number of prescribers visited within 90 days (≥3 vs 1: OR, 14.91; P<.001>
- Long-acting vs short-acting prescription within 30 days (OR, 3.01; P<.001>
- Overlapping opioid and benzodiazepine prescription within 30 days (OR, 1.38; P<.01>
- ≥160 daily MME vs 40 MME within 30 days (OR, 3.24; P<.001>
- Observational study.
Coauthored with Antara Ghosh, PhD