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处方阿片类药物的使用增加了在腹腔修复后的资源利用率
Skyler Palmer1, Margaret Plymale2, Anthony Mangino3
1College of Medicine, University of Kentucky, Lexington, Kentucky, United States.
概括
在外科手术前使用阿片类药物增加了腹腔修复 (VHR) 后的资源利用率. 这项研究确定了手术前阿片类药物使用是VHR手术后更高的医疗保健资源使用的重要风险因素.
科学领域:
- 手术成果研究的研究结果.
- 医疗服务研究 医疗服务研究
- 疼痛管理 疼痛管理
背景情况:
- 术前阿片类药物使用与术后阿片类药物消费增加和腹修复 (VHR) 中手术部位感染 (SSI) 有关.
- 骨科文献表明,与阿片类药物使用相关的资源利用率更高.
研究的目的:
- 调查手术前阿片类药物使用对开放腹腔修复 (VHR) 后资源利用的影响.
主要方法:
- 在2013年至2020年期间,对381名接受VHR的患者进行了回顾性研究.
- 数据来源包括医疗记录,NSQIP和KASPER,用于患者人口统计,并发症,阿片类药物处方和结果.
- 多变量逻辑回归分析了与资源利用相关的因素,定义为再入院,急救诊所访问或在45天内>2次术后诊所访问.
主要成果:
- 在381名患者中,有101名患者在手术前使用过阿片类药物.
- 多变量分析表明,手术前使用阿片类药物,新发性手术部位感染 (SSI) 和患者性别与术后资源利用率的增加有关 (OR,1.76;P=.026).
结论:
- 手术前使用阿片类药物是开放VHR后资源利用率增加的重要风险因素.
- 了解这些驱动因素对于制定提高医疗保健价值的策略至关重要.
- 未来的研究将探索减少阿片类药物使用患者群体资源使用的方法.
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