青少年并发性大麻使用障碍和术后并发症的趋势
Brittany L Willer1, Christian Mpody1, Olubukola O Nafiu1
1Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital and The Ohio State University, Columbus, Ohio.
Pediatrics
|May 6, 2024
概括
大麻使用障碍 (CUD) 在青少年手术患者中正在上升,增加了呼吸系统问题和更长时间住院等并发症的风险. 查对于更好的手术结果至关重要.
科学领域:
- 青少年手术 青少年手术
- 大麻使用障碍研究研究
- 公共卫生 公共卫生
背景情况:
- 青少年大麻使用障碍 (CUD) 患病率正在上升,原因是合法化和错误信息的增加.
- CUD对健康构成重大风险,特别是在手术患者等弱势群体中.
- 了解CUD对手术结果的影响对于患者护理至关重要.
研究的目的:
- 为了确定青少年手术患者中CUD的患病率.
- 评估CUD和手术后并发症在这个人口群体之间的关联.
- 为了确定青少年手术患者中CUD诊断的趋势.
主要方法:
- 追溯性,1: 1倾向匹配的队列研究.
- 涉及的青少年 (10-17岁) 在2009-2022年接受住院手术.
- 在儿科健康信息系统中利用美国医院的数据.
主要成果:
- 在558,721名青少年手术患者中,0.5%患有CUD,患病率从0.4%增加到0.6% (2009-2022年).
- 患有CUD的青少年面临更高的呼吸道并发症,ICU入院,机械呼吸和延长住院的可能性.
- 在患有CUD的青少年中,没有观察到术后死亡率或中风的显著增加.
结论:
- 大麻使用障碍越来越多地在接受手术的青少年中被诊断出来.
- CUD与较高的术后不良结果发生率有关.
- 对青少年进行CUD查对于术后风险管理和咨询至关重要.
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