2012年至2016年在儿童医院的阿片类药物处方模式
Nicole Titze1, Rishi Bhargava2, Ara Jamasbi Montalvo3
1Department of Emergency Medicine, Harbor-UCLA Medical Center, Torrence, California.
Journal of opioid management
|January 8, 2024
概括
儿童阿片类药物处方从2012年到2016年大幅下降. 增加的年龄和更长的住院时间与更多的止痛药处方有关,突出了不断发展的儿科疼痛管理策略.
科学领域:
- 儿科药理学 儿科药理学
- 疼痛管理 疼痛管理
- 公共卫生 公共卫生
背景情况:
- 阿片类药物流行病增加了成年人的阿片类药物使用.
- 由于潜在的风险,儿童疼痛管理需要仔细考虑.
- 了解儿科止痛药处方的趋势至关重要.
研究的目的:
- 分析儿科患者的麻醉和非麻醉止痛药处方趋势.
- 为了识别随着时间的推移,儿科疼痛管理的变化.
- 检查与儿童和青少年阿片类药物处方相关的因素.
主要方法:
- 对0-21岁患者的58,402份止痛药处方的分析 (2012年5月至2016年11月).
- 后勤回归模型来评估年龄,性别,诊断和住院时间与阿片类药物处方概率的关联.
- 一个大型儿科医院的处方数据的回顾性审查.
主要成果:
- 从2012年到2016年,观察到阿片类药物处方的统计显著减少 (p < 0.001).
- 增加的年龄和更长的住院时间与更高的阿片类药物处方概率直接相关 (p < 0.001).
- 人口统计学转变,在年轻患者 (<15岁) 中男性占主导地位,在年长的青少年 (>16岁) 中女性占主导地位.
结论:
- 儿科患者的阿片类药物处方总体下降,可能是由于FDA法规和对阿片类药物相关危害的认识增加.
- 年龄和住院时间是影响止痛药处方模式的重要因素.
- 需要进行进一步的研究,以探索儿科患者中特定的阿片类药物处方模式.
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