在创伤性肌肉骨损伤后,处方和随后的阿片类药物使用
Matthew F Basilico1, Abhiram R Bhashyam, Emma K Harrington
1Harvard University, 82 Fernwood Rd, Chestnut Hill, MA 02467.
The American journal of managed care
|September 20, 2023
概括
在肌肉骨手术后接受更高排放阿片类药物供应的患者更有可能长期使用阿片类药物. 限制最初的阿片类药物处方可能会减少慢性阿片类药物使用.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 公共卫生 公共卫生
背景情况:
- 肌肉骨损伤通常需要手术干预和随后的疼痛管理.
- 手术后的阿片类药物处方模式可以影响长期阿片类药物使用,并导致阿片类药物危机.
研究的目的:
- 检查肌肉骨损伤手术后出院时处方的阿片类药物数量与随后的阿片类药物使用之间的关联.
- 为了确定限制最初的阿片类药物供应是否会影响长期的阿片类药物消费.
主要方法:
- 对1039名因肌肉骨损伤而接受手术的患者的行政数据的回顾性分析.
- 仪器变量分析比较高处方与低处方居民治疗的患者.
- 通过国家注册数据追踪术后阿片类药物处方填充.
主要成果:
- 由高处方居民出院的患者在出院时获得的阿片类药物的数量显著增加 (96MME更多).
- 这些患者在手术后的第七到第八个月内也出现了较高的累积阿片类MME.
- 更多的阿片类药物供应与长期阿片类药物使用的增加有关.
结论:
- 肌肉骨手术后更高的排放阿片类药物供应与随后的阿片类药物使用增加有关.
- 限制术后处方的阿片类止痛药的数量可能是缓解慢性阿片类药物使用的策略.
- 这一发现对疼痛管理协议和阿片类药物管理有影响.
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