Opium and Opioid Abuse in Orthopedic Inpatients: A Cross Sectional Study in Urmia University of Medical Sciences

  • Ahmadreza Afshar Mail Department of Orthopedic, Urmia University of Medical Sciences, Urmia, Iran.
  • Mina Asadzadeh General Practitioner, Urmia University of Medical Sciences, Urmia, Iran.
  • Hakimeh Kargar Registered Nurse, Department of Orthopedic, Urmia University of Medical Sciences, Urmia, Iran
  • Mir Mosa Aghdashi Department of Anesthesiology, Urmia University of Medical Sciences, Urmia, Iran.
  • Fardin Mirzatolooei Department of Orthopedic, Urmia University of Medical Sciences, Urmia, Iran.
Keywords:
Analgesic, opioid, Drug abuse, Nursing, Orthopedic, Opium, Patients

Abstract

During a cross-sectional study, patients who were admitted to the orthopedic department of the Urmia University of Medical Sciences were asked about opium/opioid abuse. Demographic characteristics, the pattern of consumption, the substance, the duration of the use, the duration of hospital stay and the cause of their injuries were recorded. Among 2,867 patients, 74 (2.5%) patients (71 men and 3 women) with the mean age of 38 were opium/opioid users. Most of the patients used opium through inhalation. The mean duration of the substance use was 7.4 years. The mean duration of hospital stay between the regular orthopedic patients and the opium/opioid abuser orthopedic patients was statistically significant. (P=000). Among four Hepatitis C Virus (HCV) infected patients, three subjects were injection users and Human Immunodeficiency Virus (HIV) also infected two of them. Road traffic accidents (37.8%), and work related injuries (17.5%) were the two most common reasons for the patient's injuries.

References

Ahmadi J, Pridmore S, Alimi A, Cheraghi A, Arad A, Parsaeyan H, Mohagheghzadeh MS, Kianpour M. Epidemiology of opium use in the general population. Am J Drug Alcohol Abuse 2007;33(3):483-91.

Mokri A. Brief overview of the status of drug abuse in Iran. Arch Iran Med 2002;5(3):184-90.

Rahimi Movaghar A, Sharifi V, Mohammadi MR, Farhoudian A, Sahimi Izadian E, Rad Goodarzi R, Nejati Safa AA, Mansouri N. Researches on substance use in Iran: 3 decades evaluation. Hakim J 2006;8(4):37-44.

Kouros D, Tahereh H, Mohammadreza A, Minoo MZ. Opium and heroin alter biochemical parameters of human's serum. Am J Drug Alcohol Abuse 2010;36(3):135-9.

Kak V, Chandrasekar PH. Bone and joint infections in injection drug users. Infect Dis Clin North Am 2002;16(3):681-95.

Dabbagh A, Dahi-Taleghani M, Elyasi H, Vosoughian M,Malek B, Rajaei S, Maftuh H. Duration of spinal anesthesia with bupivacaine in chronic opium abusers undergoing lower extremity orthopedic surgery. Arch Iran Med 2007;10(3):316-20.

Schoener EP, Hopper JA, Pierre JD. Injection drug use in North America. Infect Dis Clin North Am 2002;16(3):535-51, vii.

Kalant H. Opium revisited: a brief review of its nature, composition, non-medical use and relative risks. Addiction 1997;92(3):267-77.

Ahmadi J, Benrazavi L. Substance use among Iranian cardiovascular patients. Eur J Med Res 2002;7(2):89-92.

Ahmadi J, Benrazavi L. Substance use among Iranian nephrologic patients. Am J Nephrol 2002;22(1):11-3.

Ahmadi J, Benrazavi L, Babaeebeigi M, Ghanizadeh A, Ghanizadeh M, Pridmore S. Substance use in a sample of medical patients. J Psychoactive Drugs 2008;40(3):315-9.

Tabei SZ, Heydari ST, Mehrabani D, Shamsina SJ, Ahmadi J, Firouzi SM. Current substance use in patients with gastric cancer in Southern Iran. J Cancer Res Ther 2006;2(4):182-5.

Simonian PT, Gilbert M, Trumble TE. Incidence of hepatitis C in patients requiring orthopaedic surgery. J Bone Joint Surg Br 1995;77(6):971-4.

Barrett WL, Garber SM. Surgical smoke: a review of the literature. Is this just a lot of hot air? Surg Endosc 2003;17(6):979-87.

Johnson GK, Robinson WS. Human immunodeficiency virus-1 (HIV-1) in the vapors of surgical power instruments. J Med Virol 1991;33(1):47-50.

How to Cite
1.
Afshar A, Asadzadeh M, Kargar H, Aghdashi MM, Mirzatolooei F. Opium and Opioid Abuse in Orthopedic Inpatients: A Cross Sectional Study in Urmia University of Medical Sciences. Acta Med Iran. 50(1):66-69.
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