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Valoración del riesgo de adicción a tramadol en pacientes con dolor crónico no oncológico
Risk of addiction in patients with tramadol for chronic no cancer pain
DOI:
https://doi.org/10.15446/rsap.v23n5.94305Palabras clave:
Tramadol, trastornos relacionados con opioides, dolor crónico, medición de riesgo (es)Tramadol, opioid-related disorders, chronic pain, risk assessment (en)
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Objetivo El manejo del dolor crónico no oncológico con analgésicos opioides ha sido de importancia para el control de los síntomas y el restablecimiento de la actividad, sin embargo, el riesgo de adicción asociado a estos medicamentos es ampliamente conocido y evaluado. Este estudio evalúa el riesgo de adicción que presentaban los pacientes con manejo de tramadol describiendo los factores mas frecuentes en la muestra estudiada frente a lo reportado en la literatura.
Métodos Una muestra de 76 pacientes de una clínica de dolor que están en manejo con tramadol y se les administra un cuestionario con características demográficas y con la escala Opioid Risk Tool para el riesgo de adicción.
Resultados El 57,89% de los sujetos fueron mujeres, el 55,20% se encontraba entre los 29 y 59 años. El riesgo de adicción moderado se encontró en el 9,09% de las mujeres y en el 37,05% de los hombres. La inclusión de otras enfermedades como ansiedad y trastorno de estrés postraumático aumenta el riesgo de adicción a severo en 6,06% de los hombres.
Conclusiones La valoración del riesgo de adicción a opioides debe tener en cuenta los factores encontrados en la población colombiana.
Objective The management of chronic non-cancer pain with opioid analgesics has been important for the control of symptoms and the restoration of activity, however, the risk of addiction associated with these drugs is widely known. This study evaluates the risk of addiction presented by patients with tramadol treatment, describing the most frequent factors in the sample studied compared to what was reported in the literature.
Methods A sample of 76 patients from a pain clinic who are being managed with tramadol are administered a questionnaire with demographic characteristics and with the Opioid Risk Tool scale for the risk of addiction.
Results 57.89% of the subjects were women, 55.20% were affected between 29 and 59 years. A moderate risk of addiction was found in 9.09% of women and 37.05% of men. The inclusion of other diseases such as anxiety and post-traumatic stress disorder increases the risk of addiction to severe in 6.06% of men.
Conclusions The assessment of the risk of addiction to opioids must consider the factors found in the Colombian population.
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1. Daiana Anabel Saenz, Analía Claudia Sabattini. (2025). Tramadol abuse and consumption disorders: Systematic Review. Interdisciplinary Rehabilitation / Rehabilitacion Interdisciplinaria, 5, p.32. https://doi.org/10.56294/ri202532.
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