国家阿片类药物法律对创伤患者处方的影响
Julia D Kelm1, Staci T Aubry2, Anne H Cain-Nielsen1
1Department of Surgery, University of Michigan, Ann Arbor, MI; Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, MI.
Surgery
|September 14, 2023
概括
密歇根 密歇根 密歇根 密歇根 密歇根
科学领域:
- 创伤外科 手术 创伤外科
- 公共卫生政策 公共卫生政策
- 疼痛管理 疼痛管理
背景情况:
- 过度的阿片类药物处方推动了转移和滥用.
- 阿片类药物处方政策旨在减轻与阿片类药物使用相关的风险.
- 创伤患者面临持续使用阿片类药物的风险增加.
研究的目的:
- 评估密歇根州第251号公共法对创伤患者阿片类药物处方模式的影响.
- 为了比较在政策实施之前和之后,在出院时处方的口服吗啡等价物.
- 评估阿片类药物处方政策与创伤护理中的阿片类药物使用之间的关系.
主要方法:
- 通过口服阿片类药物出院的成年创伤患者的横截面研究.
- 在政策实施前和之后每天排放口服吗啡等价物的比较 (2018年7月).
- 利用中断时间序列分析和多变量风险调整以考虑患者和受伤因素.
主要成果:
- 阿片类药物处方政策显著减少了每天大约50%的平均分泌口服吗啡等价物.
- 政策发布后的处方减少了每天19.2口服吗啡等价物 (P < .001).
- 政策后没有观察到30天补充处方的显著增加.
结论:
- 阿片类药物处方政策有效地减少了创伤患者的阿片类药物排放量.
- 该政策并没有导致随后的阿片类药物补充量增加.
- 需要进一步的研究来评估疼痛管理和受伤后的功能恢复.
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