南澳大利亚的处方和转向甲毒性:最新情况
Lilli Stephenson1, Corinna Van Den Heuvel1, Melissa Humphries2
1From the Schools of Biomedicine.
The American journal of forensic medicine and pathology
|December 8, 2023
概括
南澳大利亚的甲过量死亡人数在2000-2019年间大幅增加. 虽然转移率很低,但许多死亡都涉及处方甲,这突显了阿片类药物使用障碍治疗中的持续风险.
科学领域:
- 药理学 药理学是指药理学的学科.
- 毒理学 毒理学 毒理学
- 公共卫生 公共卫生
背景情况:
- 甲是治疗阿片类药物使用障碍 (OUD) 的关键药物.
- 甲维持计划 (MMPs) 减少了与OUD相关的死亡人数,但存在过量服用的风险.
- 了解美沙过量趋势对于公共安全至关重要.
研究的目的:
- 分析2000年至2019年南澳大利亚 (SA) 甲相关过量和死亡的趋势.
- 调查处方甲与转移甲在死亡中的作用.
- 为了确定死者的特征和转移源.
主要方法:
- 在亚洲南部 (2000 - 2019) 进行了与甲有关的死亡病例的回顾性分析.
- 对已故人口统计数据,MMP入学率和甲源 (处方与转移) 的数据的检查.
- 统计分析以确定死亡率的趋势和显著增加.
主要成果:
- 在过去20年中,南非发生了344起与甲相关的死亡,有显著的增长趋势 (P=0.03).
- 死亡者的平均年龄为42.5岁;20%在MMP中.
- 甲转移在5.2%的病例中得到证实,通常与慢性疼痛处方有关,但转移来源经常是未知的,表明低估.
结论:
- 与甲有关的死亡在南澳大利亚呈现着日益增长的趋势.
- 虽然转移是一个因素,但处方甲也导致过量死亡.
- 需要对转移和风险因素进行进一步的调查,以提高OUD治疗中的患者安全.
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