阿片类药物使用障碍与熟练护理机构接受之间的关联:一个多中心回顾性队列研究
Ifedayo O Kuye1, Laura M Prichett2, Rosalyn W Stewart3,4
1Division of Hospital Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Journal of hospital medicine
|March 8, 2024
概括
患有阿片类药物使用障碍 (OUD) 的住院患者获得更熟练的护理机构 (SNF) 转诊,但接受率较低. 这凸显了OUD患者出院选择的挑战.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 成 药物 药物 药物 药物
- 老年医学 老年医学
背景情况:
- 之前的研究发现了阿片类药物使用障碍 (OUD) 的住院患者转诊到熟练护理机构 (SNF) 的障碍.
- 了解转介和接受模式对于改善护理过渡至关重要.
研究的目的:
- 调查阿片类药物使用障碍 (OUD) 如何影响熟练护理机构 (SNF) 转诊人数及其接受率.
- 分析影响OUD患者接受SNF转诊的因素.
主要方法:
- 一项回顾性队列研究分析了2019年在两个学术医院的SNF转诊6043次住院.
- 通过药物记录或诊断码来确定OUD状态.
- 在有OUD和没有OUD的患者之间比较了转诊和接受数据.
主要成果:
- 患有OUD的患者有更多的SNF转诊 (8.9对5.6) 和明显较低的接受比例 (31.3%对46.9%).
- 患有OUD的患者住院后不太可能导致SNF出院 (65.6%vs70.3%).
- 接受率降低与没有OUD药物或接受甲的出院有关;布普伦诺啡患者的接受率与没有OUD患者相似.
结论:
- 患有OUD的住院患者经历了更多的SNF转诊,但接受率较低,这表明出院选择有限.
- 需要进行进一步的研究和干预,以解决OUD患者在SNF安置中的这些差异.
- 优化OUD患者的护理过渡需要有针对性的策略来提高SNF接受率.
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