麻酔科のリジデントにおける薬物使用障害,1975-2009年
David O Warner1, Keith Berge, Huaping Sun
1Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota3American Board of Anesthesiology, Raleigh, North Carolina.
JAMA
|December 5, 2013
まとめ
薬物使用障害 (SUD) は,高度の再発率の訓練後の麻酔内科医に影響を及ぼします. 早期発見と介入は,医師と患者の安全にとって極めて重要です.
科学分野:
- 医学研究 医学研究
- アネステシオロジー アネステシオロジー
- 公衆衛生は公衆衛生である.
背景:
- 医師における薬物使用障害 (SUD) は,患者の安全と医師の健康に重大なリスクをもたらします.
- 医師のSUDに関する疫学データの欠如は,効果的な政策と治療計画を妨げています.
研究 の 目的:
- 麻酔科のリジデントの間でSUDの発生率と結果を決定する.
- この集団におけるSUDに関連する再発率と死亡率を分析する.
主な方法:
- 1975年から2009年にかけて,米国の44,612人の麻酔内科医を対象とした,遡及的なコホート研究.
- アメリカ麻酔学会記録,医療委員会の懲戒措置,国家死亡指数から得られたデータです.
- フォローアップは,発生率および再発および死亡率について2010年12月31日までのトレーニング終了まで延長されました.
主要な成果:
- 全体的にSUD発生率は1000居住年当たり2.16であり,男性ではより高い割合であった.
- 静脈内オピオイドは最も一般的な物質カテゴリーであり,7.3%の被験者がトレーニング中に死亡しました.
- 最初のエピソードから30年後の累積的な再発率は43%で,時間の経過とともに変化はありませんでした.
結論:
- アネステシオロジーのレジデントの約0.86%が,トレーニング中にSUDを発揮した.
- 再発のリスクが高いことは,入院後のSUDリスクの持続性を強調しています.
- 発見は,SUDの医師に対する継続的なサポートとモニタリングの必要性を強調しています.
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