Xuguang Grant Tao1, Robert A Lavin, Larry Yuspeh, Virginia M Weaver, Edward J Bernacki. 1. Division of Occupational and Environmental Medicine (Dr Tao), Department of Medicine, Johns Hopkins University School of Medicine; Department of Neurology (Dr Lavin), University of Maryland School of Medicine, Baltimore; Strategic Risk and Strategy Management (Ms Yuspeh), Louisiana Workers' Compensation Corporation, Baton Rouge; Department of Environmental Health Sciences and Medicine (Dr Weaver), Johns Hopkins University Medical Institutions; and Division of Occupational and Environmental Medicine (Dr Bernacki), Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Abstract
OBJECTIVE: To explore the association between the initial 60 days of prescriptions for psychotropic medications and final workers' compensation claim outcomes. METHODS: A cohort of 11,394 claimants involved in lost time injuries between 1999 and 2002 were followed through December 31, 2009. Logistic regressions and Cox Proportional Hazard Models were used in the analysis. RESULTS: The initial 60 days of prescriptions for psychotropic medications were significantly associated with a final claim cost at least $100,000. Odds ratios were 1.88 for short-acting opioids, 2.14 for hypnotics, antianxiety agents, or antidepressants, and 3.91 for long-acting opioids, respectively. Significant associations were also found between decreased time lost from work and decreased claim closures during the study period. CONCLUSIONS: Early prescription of opioids and other psychotropic drugs may be useful predictors of high claim costs and time lost from work.
OBJECTIVE: To explore the association between the initial 60 days of prescriptions for psychotropic medications and final workers' compensation claim outcomes. METHODS: A cohort of 11,394 claimants involved in lost time injuries between 1999 and 2002 were followed through December 31, 2009. Logistic regressions and Cox Proportional Hazard Models were used in the analysis. RESULTS: The initial 60 days of prescriptions for psychotropic medications were significantly associated with a final claim cost at least $100,000. Odds ratios were 1.88 for short-acting opioids, 2.14 for hypnotics, antianxiety agents, or antidepressants, and 3.91 for long-acting opioids, respectively. Significant associations were also found between decreased time lost from work and decreased claim closures during the study period. CONCLUSIONS: Early prescription of opioids and other psychotropic drugs may be useful predictors of high claim costs and time lost from work.
Authors: Sara E Heins; Christine Buttorff; Courtney Armstrong; Rosalie Liccardo Pacula Journal: Drug Alcohol Depend Date: 2021-09-22 Impact factor: 4.492
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