提供者遵守阿司匹林预防预孕前的处方指南
Mariam Ayyash1, Gregory Goyert2, D'Angela Pitts2
1Department of Obstetrics and Gynecology, Henry Ford Health, Detroit, MI, United States.
Pregnancy hypertension
|September 11, 2023
概括
医疗服务提供者对阿司匹林预防预防预防准则的遵守率很低. 尽管推范围扩大,但很少有高风险的孕妇接受了这一关键的预防药物.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 孕前是孕产妇发病率和死亡率的一个重要原因.
- 对于患有孕前的高风险妇女,建议使用阿司匹林预防.
- 阿司匹林使用指南已经发展到包括中度风险标准.
研究的目的:
- 评估提供者是否遵守阿司匹林预防处方指南.
- 评估低剂量阿司匹林在危险孕妇群体中的摄入量.
主要方法:
- 在亨利·福特医疗保健 (2015年10月 - 2020年12月) 进行了回顾性图表审查.
- 分析了46,016例怀孕,确定了符合高风险和中等风险标准的怀孕.
- 在指南扩展之前和之后检查阿司匹林处方率.
主要成果:
- 在2019年2月之前,只有17.6%的高危女性接受了阿司匹林治疗.
- 扩张后,15.2%的高风险或中等风险女性接受了阿司匹林.
- 研究人口包括多样化,高风险的伴随性疾病的个体.
结论:
- 提供者遵守阿司匹林预防指导方针是不理想的.
- 需要进行教育干预,以改善处方实践.
- 考虑在高风险人群中普遍使用阿司匹林是有道理的.
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