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在儿童医院的心理健康入院期间使用药物限制措施
Benjamin Masserano1,2, Matt Hall3, Ryan Wolf4
1Divisions of Hospital Medicine.
Pediatrics
|December 11, 2023
概括
在儿科精神卫生住院治疗中,药物制约的使用量显著增加. 率因诊断而异,自闭症,与物质相关的和破坏性障碍的使用率最高.
科学领域:
- 儿科心理健康 儿科心理健康
- 药理干预措施 药理干预措施
- 患者安全 患者安全
背景情况:
- 在美国儿童医院增加初级心理健康入院.
- 这些患者的激动往往需要药理上的克制.
- 需要通过初级心理健康诊断来描述自制使用.
研究的目的:
- 描述医疗住院病房中药理学限制的使用情况.
- 基于初级心理健康诊断来分析限制使用.
- 随着时间的推移,识别药理限制使用的趋势.
主要方法:
- 使用儿科健康信息系统数据库进行回顾性,横截面研究.
- 包括5至17岁有初级心理健康诊断的儿童 (2016-2021年).
- 用Poisson回归计算每1000个患者日的药理限制率和趋势分析.
主要成果:
- 在43家医院,3%的入院和1.3%的患者日涉及药物限制.
- 药物抑制的发生率增加了141%,而这一率保持稳定.
- 在自闭症,物质相关障碍和破坏性障碍中观察到的最高克制率.
结论:
- 在儿科精神卫生住院治疗中使用药物限制的发生率增加,并且根据诊断有很大差异.
- 通过诊断来描述克制率对于识别有风险的患者至关重要.
- 结果可以指导有针对性的干预措施,以优化药理学限制的利用.
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