在儿童医疗补助保险人口中,心脏手术后的阿片类药物利用
Michael P Fundora1, Manvitha Kalicheti2, Guantao Zhao2
1Division of Cardiology, Department of Pediatrics, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, GA.
The Journal of pediatrics
|November 2, 2023
概括
对于儿科心脏手术患者的阿片类药物处方因种族,种族,性别和地区而异. 需要国家指导方针来规范门诊阿片类药物使用,并尽量减少潜在的危害.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 疼痛管理 疼痛管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 儿科心脏手术后门诊阿片类药物处方模式表现出相当大的变化.
- 了解这些变异对于确保公平和安全的疼痛管理至关重要.
- 之前的研究还没有全面分析这些处方趋势跨越多样化的人口和地理因素.
研究的目的:
- 调查美国各地接受心脏手术的儿科患者在门诊阿片类药物处方实践中的差异.
- 确定与阿片类药物处方使用,持续时间和剂量的差异相关的人口和区域因素.
主要方法:
- 对2016-2018年期间的医疗补助申请数据进行了回顾性,横截面分析.
- 包括0-17岁的儿童在心脏手术后出院,并在30天内接受阿片类药物处方.
- 处方被量化为吗啡毫克相当量 (MME);按性别,种族,种族,城市和地区进行分析.
主要成果:
- 在17,186名儿童中,2,129名儿童在出院后接受了阿片类药物治疗.
- 女性接受的阿片类药物剂量低于男性 (P=0.022).
- 西班牙裔个人接受阿片类药物的可能性较低,并且持续时间较短 (P<0.05). 处方因地区而异,中西部和东北地区的处方可能性较低,但剂量较高,与东南地区相比.
结论:
- 儿童心脏手术患者在门诊阿片类药物处方方面存在显著差异,基于种族,种族,性别和地理区域.
- 建议制定国家指导方针,对患者在门诊治疗中使用阿片类药物.
- 标准化指南可以帮助减少实践变化,并减轻与门诊阿片类药物治疗相关的潜在危害.
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