1676名患有炎症性肠病的患者的阿片类药物使用和相关因素:一个多中心质量改进项目
Samantha Baillie1, Jimmy K Limdi2, Ash Bassi3
1Department of Gastroenterology, St George's University Hospitals NHS Foundation Trust, London, UK.
Frontline gastroenterology
|October 19, 2023
概括
在英国,阿片类药物在炎症性肠病 (IBD) 患者中很常见,有12%的门诊患者和27%的住院患者使用它们. IBD服务必须识别和减少阿片类药物暴露,提供替代性疼痛管理.
科学领域:
- 胃肠病学 胃肠病学
- 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:
- 在炎症性肠病 (IBD) 中使用阿片类药物与不良结果有关,但在英国的特征仍然不佳.
- 了解阿片类药物在IBD中使用的患病率和贡献因素对于改善患者护理至关重要.
研究的目的:
- 调查英国IBD患者中阿片类药物使用的程度.
- 确定与IBD中阿片类药物使用相关的因素.
- 评估在IBD护理中实施阿片类药物减轻策略的情况.
主要方法:
- 这是一项基于问卷的研究,对英国12家医院的1352名IBD门诊患者进行了调查.
- 审查324名IBD住院患者在入院,出院和随访期间使用阿片类药物的医院记录.
- 数据收集包括患者人口统计,IBD病史,阿片类药物使用和缓解技术.
主要成果:
- 12%的IBD门诊患者报告在过去一年中使用过阿片类药物;超过一半使用它们治疗非IBD疼痛.
- 27%的住院IBD患者在出院时接受了阿片类药物,11%的人在出院12个月后仍在使用它们.
- 女性性别,克罗恩病诊断和之前的手术与阿片类药物使用有关.
结论:
- 在IBD患者中,阿片类药物暴露显著,影响门诊和住院患者.
- IBD服务需要积极识别使用阿片类药物的患者,并实施减少依赖的策略.
- 促进获得替代性疼痛管理的机会对于改善IBD患者的治疗结果至关重要.
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