在有或没有脑的商业保险儿童中,阿片类药物处方模式
Lubna Ayoubi1, Jessica Pruente1, Alecia K Daunter1
1Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA.
Journal of pediatric rehabilitation medicine
|March 15, 2024
概括
与没有脑的同龄人相比,患有脑 (CP) 的儿童的阿片类药物暴露率更高,处方时间更长. 这突显了儿童CP患者疼痛管理的显著差异.
科学领域:
- 儿科医学 儿科医学 儿科医学
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
背景情况:
- 大脑 (CP) 是一种复杂的神经疾病,影响运动和姿势.
- 由于潜在的风险,儿童群体的阿片类药物使用需要仔细考虑.
- 了解处方模式对于优化CP儿童疼痛管理至关重要.
研究的目的:
- 为了比较患有或没有脑的儿童的阿片类药物处方模式.
- 量化这两个群体之间的阿片类药物暴露和供应持续时间的差异.
主要方法:
- 一项使用2015-2016年商业索赔数据的队列研究.
- 包括2-18岁的儿童,有或没有CP.
- 使用零膨胀的通用线性模型进行统计分析,以比较阿片类药物暴露和供应的日数,并对共变量进行调整.
主要成果:
- 患有CP的儿童暴露于阿片类药物的比例更高 (12.1%对5.3%),供应时间更长 (中位数为8天对6天).
- 这种差异甚至在最年轻的年龄组 (2-4岁) 中也被观察到.
- 诸如年龄较大,亚洲种族/族裔以及没有同时出现的NDD等因素与CP儿童的供应时间较长有关.
结论:
- 患有脑 (CP) 的儿童更有可能被处方阿片类药物.
- 对患有脑膜炎的儿童的阿片类药物处方往往是更多的天数.
- 这些发现强调了需要有针对性的策略来管理儿童CP的疼痛和阿片类药物使用.
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