伤害后社区阿片类药物开放 (CODI):队列特征和阿片类药物开放模式
C M Cameron1, R Shibl2, S Cramb1
1Jamieson Trauma Institute, Royal Brisbane and Women's Hospital, Metro North Health; Australian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Brisbane, Australia.
在受伤后长期使用阿片类药物很常见,近40%的成年人接受处方. 预先存在的阿片类药物使用和较高的伤害严重程度预测了更长的处方时间和更高的剂量,突出了需要更好的疼痛管理策略.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 在受伤后,对成年人长期使用阿片类药物的理解有限.
- 国际上对阿片类药物研究的关注存在,但伤害后的模式未得到充分研究.
- "受伤后社区阿片类药物处置"研究数据的分析.
研究的目的:
- 描述受伤队伍的基线特征.
- 在受伤相关住院后报告阿片类药物开放模式.
- 在实施阿片类药物管理计划之前提供数据.
主要方法:
- 澳大利亚昆士兰州受伤后住院的成年人的回顾性队列研究 (2014-2015年).
- 住院治疗,社区阿片类药物开放和死亡记录之间的数据联系.
- 从入院前90天到出院后720天的发放模式的分析,计算每日口服吗啡等价物量的中位数.
主要成果:
- 在129,684名受伤的成年人中,有38.7%在受伤后接受了社区阿片类药物治疗.
- 年龄较大,女性性别,骨折损伤和严重程度较高与阿片类药物开放有关.
- 伤害前的阿片类药物使用,再入院,重复手术,以及与更长时间和更高剂量相关的死亡率.
- 大约7%的人在受伤后2年继续使用阿片类药物.
结论:
- 前阿片类药物管理的新型人口层面的个人资料,阿片类药物在受伤后发放.
- 了解这一基线对于评估未来的干预措施至关重要.
- 突出显著的长期阿片类药物使用和相关的风险因素.
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