Chemical dependence in anesthesiologists: the actuality

Brooker, Stuart; Fitzsimons, Michael G.; Moore, Roger; Neto, Gastão Duval

doi:10.1016/j.bjane.2017.01.001

Cited by 1 publication

(1 citation statement)

References 11 publications

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“…There is international consensus that alcohol and other substance abuse by healthcare professionals is an ongoing occupation-related health concern associated with tragic outcomes, such as drug-related overdose and death. 67 Evidence has suggested that involuntary occupational exposures to inhalational anaesthetics may contribute to factors, such as work-related stress in promoting substance abuse and related adverse events. 68 Patients under the care of providers with alcohol and other substance abuse problems may be subject to risks from impaired clinical judgement.…”

Section: Relation To Prior Workmentioning

confidence: 99%

Risk of mortality and suicide associated with substance use disorder among healthcare professionals

Rodrigues¹,

Pereira²,

Passarelli³

et al. 2021

European Journal of Anaesthesiology

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BACKGROUND Previous studies have suggested that healthcare professionals may be susceptible to substance use disorders, and among the medical specialties, anaesthesia providers appear to be overrepresented. OBJECTIVE We aimed to compare the prevalence of substance use-related mortality and suicides between anaesthesia and nonanaesthesia professionals. DESIGN Systematic review of observational studies with meta-analyses. We defined anaesthesia providers as any healthcare professionals belonging to the specialty, regardless of age and duration of employment. Other healthcare professionals served as the control group. DATA SOURCES Ovid Medline, EMBASE, Web of Science, Scopus, Scielo, LILACS and ProQuest databases up to March 2020. RESULTS Thirty-nine studies were included, 31 cross-sectional studies involving 13 819 participants and eight cohorts with a total 129 811 participants proved eligible. Results suggested a higher rate of drug-related mortality with odds ratio (OR) 2.69 [95% confidence interval (CI), 1.80 to 4.00; P < 0.001; I 2 = 0%, P = 0.55; high-certainty evidence] and suicide (OR 2.18, 95% CI, 1.33 to 3.58; P = 0.002; I 2 = 0%, P = 0.68; moderate-certainty evidence) for anaesthesia providers compared with other healthcare professionals. CONCLUSION High-to-moderate-certainty evidence shows that there is more than a two-fold increased rate of substance use-related mortality and suicide among anaesthesia providers compared with other healthcare professionals. Investigations examining substance abuse between healthcare professionals, with particular attention to working conditions and exposure are essential to further develop preventive strategies.

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Section: Relation To Prior Workmentioning

confidence: 99%