与尿液药物测试相比,亲自和远程口服液体药物测试的有效性和可靠性
Gabriela Kattan Khazanov1, Erin Ingram2, Kevin Lynch3
1Center of Excellence for Substance Addiction and Treatment (CESATE), Corporal Michael J. Crescenz VA Medical Center, 3900 Woodland AvenuePhiladelphiaPA19104United States; Department of Psychiatry at the University of Pennsylvania Perelman School of Medicine, 3535 Market StreetPhiladelphiaPA19104United States.
Drug and alcohol dependence
|July 10, 2023
概括
远程口服液体药物测试显示出远程医疗的前景,准确识别大多数负面结果,但与积极的结果扎. 它的可靠性因药物而异,对某些物质有局限性,远程自我管理具有挑战.
科学领域:
- 临床化学 临床化学
- 法医毒理学 法医毒理学
- 数字健康数字健康
背景情况:
- 远程医疗的扩张推动了对远程药物测试解决方案的需求.
- 口服液体药物测试在速度,可接受性和观察性方面具有优势.
- 确定口服液体测试与尿液药物测试的有效性和可靠性至关重要.
研究的目的:
- 与尿液药物测试相比,评估口服液体药物测试的有效性.
- 评估远程口服液体药物测试与个人采集的可靠性.
- 确定口服液体测试是否适用于远程药物监测.
主要方法:
- 99名退伍军人完成了面对面和远程口服液体测试,以及面对面的尿液测试.
- 通过将口服液体结果与黄金标准尿液测试进行比较来评估有效性.
- 可靠性是通过比较面对面和远程口服液体测试结果来确定的.
主要成果:
- 口服液体测试的有效性与人体样本和远程样本相似.
- 观察到高特异性和负预测值,但敏感性和正预测值较低.
- 敏感性因药物而异,甲和氧是最高的;可靠性对某些药物充足,但对其他药物 (例如氧,大麻) 不足.
结论:
- 口服液体测试有效地识别了负面的药物测试,但对积极的结果不那么准确.
- 通过口服液体进行远程药物测试在自我管理和解释方面提出了独特的挑战.
- 虽然适用于某些应用,但口服液体测试的局限性,特别是远程使用,需要仔细考虑.
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