Trends in fatal poisoning among medical users of analgesics in France from 2013 to 2022: an analysis of the DTA register
- Type de publi. : Article dans une revue
- Date de publi. : 01/11/2024
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Auteurs :
Bruno RevolThéo WillemanMarc ManceauVéronique Dumestre-TouletJean-Michel GaulierHélène Eysseric-GuérinNathalie Fouilhé Sam-LaïChadi AbbaraDelphine AllorgeJean-Claude AlvarezAlice AmelineAnne BarretEmilie BerlandCélian BertinThierry BesnardFabien BevalotCamille Billet-ChatenayAlexandra BoucherÉmilie BouquetJoanna BourgineBertrand BrunetAnne-Sylvie CaousAlexandre CesbronLauriane CharuelMarjorie ChezeAntony Citterio-QuentinPhilippe Collon-FabieEric DaillyAmélie DaveluyGrégory DeffontaineMartine DelageXavier DelavenneFlorence DescampsJuliette DescoeurGuillaume DeslandesMarc DeveauxBernadette DevosChristophe DocheCéline EidenAurélie FouleyYvan GaillardNicolas GambierCatherine GanièreMarie GérardinJean-Pierre GoulléPascal GuerardGuillaume HoizeyLuc HumbertLaurent ImbertMarie-France KerguerisPascal KintzFlorian KlinzigLaurence Labat-DeveauxBruno LacarelleChristian LacroixDenis LamiableMichel LavitReynald Le BoisselierAnne Le BouilCatherine Le MeurSandrine LefeuvreBénédicte LelièvreVéronique Lelong-BoulouardAnne-Sophie Lemaire-HurtelMagalie LoilierVincent LopezClaire Martin-MolinsHélène MartyOlivier MathieuJean-Claude Mathieu-DaudéYves MaurasNathalie MilanAurélie MoalIsabelle MorelPatrick MuraAnne-Laure Pelissier-AlicotGilbert PépinMartine PerrinAnne PeyreAlain PineauLiselotte PochardRop PokCatherine Ragoucy-SenglerRaphaël RayerNassima RedjimiEmilie RomanCarine RousselSandrine SabiniElodie SaussereauJulien Scala-BertolaPauline SibilleMichel SpadariJohan ThieryKarine TitierAlain TurcantPierrick VacherNicolas VenisseOphélie VieiraPascale Visinoni
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Organismes :
Université Grenoble Alpes - UFR Médecine
CHU de Grenoble-Alpes - Centre Hospitalier Universitaire CHU Grenoble
Hypoxie et PhysioPathologie
CHU de Grenoble-Alpes - Centre Hospitalier Universitaire CHU Grenoble
Centre d'Investigation Clinique [Grenoble]
Laboratoire ToxGen
Centre Hospitalier Régional Universitaire [CHU Lille]
CHU de Grenoble-Alpes - Centre Hospitalier Universitaire CHU Grenoble
Université Grenoble Alpes
CHU de Grenoble-Alpes - Centre Hospitalier Universitaire CHU Grenoble
Département de Pharmacologie-Toxicologie [CHU Angers]
Impact de l'environnement chimique sur la santé humaine - ULR 4483
Plateforme de spectrométrie de masse [Garches]
Hôpital Raymond Poincaré [AP-HP]
Institut de Médecine Légale [Strasbourg]
Laboratoire de pharmacologie et toxicologie neurocardiovasculaire
CHU de Grenoble-Alpes - Centre Hospitalier Universitaire CHU Grenoble
CHU Gabriel Montpied [Clermont-Ferrand]
Université Clermont Auvergne
Neuro-Dol
Laboratoire Lat Lumtox
Hospices Civils de Lyon
Laboratoire de neurosciences expérimentales et cliniques [U 1084]
CIC de Poitiers – Centre d'investigation clinique de Poitiers (CIC 1402)
Service de pharmacologie clinique et vigilances [CHU de Poitiers]
Département de Pharmacologie [CHU Caen]
Université Jean Monnet - Saint-Étienne
Santé Ingénierie Biologie Saint-Etienne
Centre Hospitalier Universitaire de Saint-Etienne [CHU Saint-Etienne]
Institut de Neurosciences des Systèmes
Institut de Neurosciences des Systèmes
- Publié dans Public Health le 26/10/2020
Résumé : Objective: To describe analgesic-related deaths in France and report trends over a 10-year period.
Study design: The DTA (“Décès Toxiques par Antalgiques”) register is a French database of analgesic-related deaths among people without a history of drug abuse, reported by forensic toxicology experts.
Methods: We included analgesic-related deaths occurring from January 2013 to December 2022 in France. Subject demographic characteristics and medical history, forensic autopsy findings, and toxicology reports were evaluated.
Results: Among the 1036 deceased individuals (mean [SD] age, 48.3 [15.6] years), there were slightly more women than men (M:F sex ratio, 0.89:1). Over the entire study period, tramadol was the leading cause of death, ahead of morphine. A relative increase in oxycodone-related mortality was observed (from 6.8% in 2013 to 21.1% in 2022) compared to a progressive decrease in tramadol, morphine, and codeine-related deaths (from 43.2%, 31.1% and 24.3% in 2013 to 37.5%, 26.6% and 20.3% in 2022, respectively). However, no statistically significant variations were found (Chi-squared tests of homogeneity). Other analgesics (buprenorphine, dihydrocodeine, fentanyl, gabapentin, ketamine, methadone, nefopam, and pregabalin) were also implicated in deaths, but with low and stable rates over the period studied.
Conclusions: In France, no increase in fentanyl-related deaths and only a non-significant increase in oxycodone-related deaths were observed over the period 2013–2022. Tramadol was the leading cause of analgesic-related deaths throughout this period. Although close monitoring is still required, particularly for oxycodone, our data do not support the hypothesis of an opioid crisis in France.
Fichiers liés :
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