通过使用定制的阿片类药物处方算法,减少剖腹产后的阿片类药物处方
Christine P McKenzie1, Lacey E Straube1, Carolyn M Webster2
1Division of Obstetric Anesthesia, Department of Anesthesiology, University of North Carolina, Chapel Hill, North Carolina.
American journal of perinatology
|September 29, 2023
概括
一个定制的阿片类药物处方算法显著减少了剖腹产后处方的阿片类药片数量. 这种方法也增加了没有阿片类药物处方出院的患者数量,促进了更安全的阿片类药物使用.
科学领域:
- 产科和妇科 产科和妇科
- 疼痛管理 疼痛管理
- 药理学 药理学是指药理学的学科.
背景情况:
- 安全的阿片类药物处方在医疗保健系统中越来越关注.
- 尽量减少阿片类药物过度处方需要建立的最佳实践.
- 剖腹产患者是评估阿片类药物处方策略的关键人群.
研究的目的:
- 评估定制阿片类药物处方算法的对处方量的影响.
- 评估算法在减少剖腹产后阿片类药物使用的有效性.
- 为了确定定制的处方是否会影响没有阿片类药物处方的出院率.
主要方法:
- 根据住院患者的阿片类药物使用量身定制的阿片类药物处方算法的开发.
- 对阿片类药物处方的回顾性分析3个月前和后算法实施.
- 主要结局:被处方的氧化5毫克片数;次要结局:患者满意度和未使用的片通过调查.
主要成果:
- 实施后,处方的氧化片的中位数从20下降到5 (p < 0.0001).
- 对于以前没有使用过阿片类药物的患者,处方的中位数从20下降到0 (p < 0.0001).
- 没有使用阿片类药物出院的患者比例从7%增加到35% (OR 6.9).
结论:
- 量身定制的阿片类药物处方算法有效地减少了处方的阿片类药物数量.
- 这一策略增加了患者在没有阿片类药物处方的情况下出院的可能性.
- 基于实际患者需求的个性化处方是打击阿片类药物过度处方的可行方法.
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