Prevalence of Long Term Opioid Use in Patients with Asthma and Allergic Rhinitis

Abstract

Proper understandings of local factors related with poor asthma control are fundamental to care givers in order to develop health strategies. Recent literature says that anxiety and depression are common among patients with poor control asthma. It is imperative to acknowledge that cultural differences from country to country may impact in this association. METHODS: It is an Observational, descriptive, anonymous crosssectional survey study, conducted in the outpatient Respirology department of private hospitals in Ecuador. Patients with physician based diagnosis of asthma that agree to participate, filled the Spanish versions of the Hospital Anxiety and Depression Scale (HADS) and Asthma Control Test (ACT) questionnaires, previous or during his Respirology consult. Descriptive statistic was use to asses' demographical data, and chi-square test was use to asses any association between emotional disorders and asthma control. RESULTS: 73 patients finished both HADS and ACT questionnaire; mean age of patients with asthma was 55 years. 75.3% of the patients were female. Almost 70% of the patients had a high school degree or an elementary one. 13.7% of the patients smoked cigarettes', with a mean of cigarettes smoked per day of 15. Regarding to asthma control, 65.8% had a poor control. We found only a 2.7% of patients with anxiety and a 1.4% with depression. After doing the chi-square analysis we didn't find any association among these variables in our population. CONCLUSIONS: There are a high percentage of patients with poor asthma control but depression and anxiety does not seem to be associated with this phenomenon in our country.

Impact of reported NSAID “allergies” on opioid use disorder in back pain

“…Although the role of comorbid allergic diseases in OUD is not clear, the prevalence of asthma in patients with OUD has previously been found to be higher than the national prevalence of asthma. 47,48 The associations found in our study clearly highlight the need for future, prospective studies to more definitively address the role of atopy and reported NSAID allergies in prescribing patterns and development of opioid use disorder.…”

The association between dual use of electronic nicotine products and illicit drugs with adverse cardiovascular and respiratory outcomes in a longitudinal analysis using the Population Assessment of Tobacco and Health (PATH) survey

“…Nonmedical drug use directly affects the pulmonary system (e.g., pulmonary edema) ( Radke et al., 2014 ; Tseng et al., 2013 ). Evidence suggests drugs, including opioids, increase asthma prevalence above the national average ( Naik et al., 2018 ; Lee et al., 2019 ). Drugs also affect the cardiovascular system, with studies showing a link between long-term use of opioids, cocaine, and certain amphetamines with cardiac structural changes such as myocardial fibrosis ( Aquaro et al., 2011 ; Kevil et al., 2019 ; Seltenhammer et al., 2013 ).…”