Uso de opioides e seu risco de abuso em ambulatório de dor crônica

Abstract

of the most common reasons to seek medical attention. One of its treatments is the use of opioids, which has as its main risk the possibility of abuse. This study aimed to assess the risk for opioid abuse among patients with chronic pain treated at the pain ambulatory in the Universitary Hospital of the Federal University of Sergipe and associate biopsychosocial factors with this risk. Methods: a transversal retrospective study with 72 patitents treated in ambulatory care in a public hospital from july to august 2019. The variables analyzed were age, sex, comorbidities, prescription drugs in use, pain-related aspects such as intensity, anatomical location, etiology, need to take time off work and the Opioid Risk Tool (ORT) administration. The data were submitted to statistical analysis, the chi-square test was applied, and the p-value was significant when =0.05. Results: 72 patients with chronic pain were analyzed, most of them female (84.7%). Mean age was 52.8 ± 11.5 years old. The most common pain site was the lower back (37.5%). Patients were classified into 3 groups according to its risk of opioid abuse, witch were: high (21%), moderate (29%) and low (50%). Houve associação do aumento do risco com o uso de opioides (p=0,04) and with the presence of depression (p=0,003). Conclusion: half of the patients were at high or moderate risk for opioid abuse. The risk of abuse tended to be higher among patients who were already using this medication and among those who had depression.