美国紧急部门的访问归因于药物危害,2017-2019年
Daniel S Budnitz1, Nadine Shehab1,2, Maribeth C Lovegrove1
1Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
JAMA
|October 5, 2021
概括
急性药物伤害导致频繁的急诊,近40%需要住院治疗. 危害因年龄不同而有所不同,老年人有更多的治疗药物问题,年轻人更多的非治疗药物使用.
科学领域:
- 公共卫生
- 药物监督管理
- 紧急医疗
背景情况:
- 评估急性药物危害需要考虑治疗和非治疗药物使用.
- 紧急部门 (ED) 访问是了解药物相关危害的关键数据来源.
研究的目的:
- 描述美国急性药物危害的急诊室的范围和性质.
- 在不同年龄组中区分治疗与非治疗药物使用的危害.
主要方法:
- 采用了2017-2019年国家电子伤害监测系统-合作药物不良事件监测项目的数据.
- 分析了60个全国代表性急诊室的患者访问情况.
- 针对药物危害的急救诊所和住院病人的国家加权估计.
主要成果:
- 据估计,每年有610万人因药物危害而去急诊室,其中38.6%的患者住院治疗.
- 较年长的成年人 (≥65岁) 与年轻人相比,因药物危害而出现更高的ED访问率.
- 虽然治疗用途占主导地位 (69. 1%),但非治疗用途在年轻患者中很常见 (< 45 岁,52. 5%),特别是在二类药物中.
结论:
- 药物危害是美国急诊室的重要原因,因患者年龄和药物使用意图而有所不同.
- 调查结果强调需要针对性预防策略,解决药物不良事件和整个生命周期的滥用/滥用问题.
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