在稳定了布普伦诺芬患者的术后布普伦诺芬延续:一个人口队列研究
Tanya S Hauck1,2,3,4, Karim S Ladha2,5,6,7, Bernard Le Foll1,2,3,8,9,10
1Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Addiction (Abingdon, England)
|June 19, 2023
概括
大多数为阿片类药物使用障碍服用布普伦诺芬的患者在手术后继续治疗. 然而,住院手术显著增加了停止服用布普伦诺芬的风险,可能会增加过量服用的风险.
科学领域:
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
背景情况:
- 手术后突然停止服用布普伦诺芬可能会导致阿片类药物使用障碍 (OUD) 患者的复发和过量服用.
- 有限的数据存在于外科手术期间的布普伦诺芬使用及其在医院出院后的持续率.
研究的目的:
- 为了确定手术后医院出院后布普伦诺啡持续率.
- 在OUD患者中确定与布普伦诺芬延续相关的因素.
主要方法:
- 基于人口的回顾性队列研究,使用加拿大安大略省 (2012-2018) 的行政数据.
- 包括成人 (≥18岁) 在手术前持续服用布普伦诺芬≥60天.
- 后勤回归分析了延续与人口,治疗,手术和医疗服务因素之间的关联.
主要成果:
- 在2176名患者中,8.1%的患者在手术后停止服用布普伦诺芬.
- 住院手术与减少布普伦诺芬持续治疗 (调整后OR为0.16) 有着强烈的关联.
- 考虑了诸如年龄,性别,农村地区,收入,并发症和先前的精神病医院住院等因素.
结论:
- 在安大略省,大多数接受手术前布普伦诺芬治疗的患者在手术后继续治疗.
- 与门诊手术相比,住院手术是停止布普伦诺芬治疗的重要预测因素.
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