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与未计划的临床接触与尿道支架相关症状相关的因素
Connor Policastro1, Mauro Dispagna2, Garrett Smith1
1Department of Urology, SUNY Upstate Medical University, 750 E Adams St, CWB 2nd Floor, Syracuse, NY, 13210, USA.
World journal of urology
|February 7, 2024
概括
慢性阿片类药物使用预测尿道支架相关症状 (USRS),导致未计划的电话和急救诊所. 接受排放阿片类药物的阿片类药物以前的患者更频繁地遇到USRS.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 患者的治疗结果.
- 药理学 药理学是指药理学的学科.
背景情况:
- 尿道支架相关症状 (USRS) 经常导致意外的患者接触,包括诊所呼叫和急诊室 (ER) 访问.
- 确定这些遭遇的预测性患者因素对于改善护理和资源配置至关重要.
研究的目的:
- 调查患者特异性因素,特别是慢性阿片类药物使用,这些因素预测了与尿路支架相关症状 (USRS) 的计划外医疗接触.
主要方法:
- 在2014年至2019年间,对374名接受尿道支架安置的患者进行了回顾性分析.
- 使用后勤回归来评估USRS患者人口统计,出院药物,临床因素和未计划的术后遭遇之间的关联.
主要成果:
- 20.1%的患者经历了一次或多次与USRS相关的遭遇 (12.8%的诊所呼叫,10.4%的急诊访问).
- 慢性阿片类药物使用是USRS诊所呼叫 (OR 3.21) 和急救室访问 (OR 3.64) 的重要预测因素.
- 与未服用过阿片类药物的患者相比,在出院时接受阿片类药物的阿片类药物未使用的患者比未接受阿片类药物的患者更早,更频繁地发生了意外遭遇.
结论:
- 患有慢性阿片类药物使用史的患者可能有较低的门寻求USRS医疗护理或经历更严重的症状.
- 以前没有服用过阿片类药物的患者,在出院后被处方阿片类药物,他们面临更高的意外USRS接触的风险.
- 泌尿科医生应在适当的情况下考虑对尿路阻塞进行最终管理,因为目前的药物没有减少USRS无计划患者接触.
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