在一个独立的康复医院的纳洛处方实践
Shane N Stone1, Natalie Curley, Manasi Sheth
1From the Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, Illinois (SNS, SM); The Shirley Ryan AbilityLab, Chicago, Illinois (SNS, MS, CB, SM); and Creighton University Arizona Health Education Alliance, Phoenix, Arizona (NC).
物理医学和康复医生很少给高风险患者开处方纳洛,这是一种关键的阿片类药物过量逆转药物. 门诊机构显示,纳洛的处方率高于住院机构,这表明需要更好地遵守指南.
科学领域:
- 医疗康复 医疗康复
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 阿片类药物治疗带有大量过量服用和并发症的风险.
- 美国疾病控制和预防中心 (CDC) 提供了给有风险的患者开纳洛的指导方针.
- 物理医学和康复 (PM&R) 医生管理需要阿片类药物治疗的患者,需要遵守纳洛处方协议.
研究的目的:
- 评估PM&R医生对高风险患者处方纳洛的比例.
- 为了比较内科和门诊之间纳洛的处方做法.
- 评估对纳洛联合处方的CDC指南的遵守情况.
主要方法:
- 在一个学术康复医院对389名成年患者的回顾性图表审查.
- 对处方药的分析,包括阿片类药物和纳洛,从5月4日至2022年5月31日.
- 评估患者的并发症,以根据CDC标准确定纳洛的资格.
主要成果:
- 在门诊患者中,阿片类药物处方比住院患者 (30.49%) 更常见 (61.45%).
- 与住院患者 (51.47%) 相比,在门诊患者 (59.80%) 中发现了更高比例的"有风险"阿片类药物处方.
- 在住院患者 (2.86%) 和门诊患者 (8.20%) 的情况下,纳洛的处方率明显较低.
结论:
- 在住院和门诊情况下,PM&R医生的纳洛处方率很低.
- 门诊设置显示,与住院患者相比,纳洛的处方率更高,尽管仍然很低.
- 需要进一步的研究来调查这些处方趋势背后的原因,并制定有针对性的干预措施.
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