Analgesic consumption in a large sample of people in musculoskeletal rehabilitation: A descriptive study - 16/03/24
, Philippe Vuistiner a, 1, Cyrille Burrus a, c, François Luthi c, d, Bertrand Léger a
Bienvenue sur EM-consulte, la référence des professionnels de santé.
Article gratuit.
Connectez-vous pour en bénéficier!
Highlights |
• | 60% of people hospitalised for rehabilitation after injury took analgesics. |
• | 20% of those on analgesia took opioids, mainly tramadol. |
• | 20% of those hospitalized took no analgesics. |
• | Those taking analgesics had more pain, anxiety, and catastrophism. |
• | These factors can be modified in rehabilitation with interdisciplinary management. |
Abstract |
Background |
Consumption of opioids is increasing worldwide in people with chronic non-cancer pain, although their effectiveness is debated.
Objectives |
The aim of the current study was to evaluate analgesic consumption and its association with different variables (demographic variables, pain, anxiety/depression, catastrophism, and kinesiophobia), in the field of musculoskeletal rehabilitation, where no data are available.
Methods |
This was a retrospective study over a period of 8 years on people hospitalised for rehabilitation after injury. Participants were classified into 3 categories: no analgesics (NA), non-opioid analgesics (NOA), and opioid analgesics (OPA). ANOVA or chi-squared tests were used to compare the 3 groups.
Results |
A total of 4,350 people (84% men; mean [SD] age, 44 [11] years) were included. In total, 20% were taking OPA, 40% NOA and 40% NA. In the OPA group, tramadol was mainly used, and the morphine equivalent median dose was 8.3 mg/day. In the NOA group, paracetamol and ibuprofen were mostly used. Symptoms increased progressively across the 3 groups (NA/NOA/OPA), with increased levels of pain severity/interference, anxiety/depression and catastrophizing, and a higher prevalence of neuropathic pain in the OPA group versus the others.
Conclusions |
These results are consistent with those found in groups of people with chronic pain taking larger doses of opioids and following opioid reduction or cessation programs. Opioid prescription did not increase over the 8 years, which was reassuring. These factors are important to emphasise because they can be modified in the rehabilitation setting with interdisciplinary management.
Registration |
Our database was registered on Mendeley Data.
Le texte complet de cet article est disponible en PDF.Keywords : Opioids, Analgesics, Rehabilitation, Musculoskeletal, Chronic pain, Chronic noncancer pain, Vocational
Abbreviations : AIS, ANOVA, ATC, BMI, BPI, CBT, CIRS, DN4, HADS, IQR, MEDs, NA, NOA, NSAIDs, OPA, OTC, PCS, SD, STROBE, Suva, TSK
Plan
Vol 67 - N° 1
Article 101776- février 2024 Retour au numéro
Article précédent
- Effectiveness and cost-effectiveness of telerehabilitation for musculoskeletal disorders: A systematic review and meta-analysis
- Pablo Molina-Garcia, Marta Mora-Traverso, Rafael Prieto-Moreno, Andrea Díaz-Vásquez, Benny Antony, Patrocinio Ariza-Vega
- Improving orientation with respect to gravity enhances balance and gait recovery after stroke: DOBRAS cohort
- Shenhao Dai, Céline Piscicelli, Adélaide Marquer, Rémi Lafitte, Emmanuelle Clarac, Olivier Detante, Dominic Pérennou
Bienvenue sur EM-consulte, la référence des professionnels de santé.