自我报告的处方,氧化和特拉马多尔使用与脊髓损伤患者的无意伤害之间的关系
James S Krause1, Nicole D DiPiro1, Clara E Dismuke-Greer2
1College of Health Professions, Medical University of South Carolina, Charleston, SC.
Archives of physical medicine and rehabilitation
|May 18, 2024
概括
吸食阿片类药物,特别是可,与脊髓损伤 (SCI) 的成年人意外受伤有关. 这三种研究的阿片类药物 (可,氧可,特拉马多尔) 都与此群体的跌倒相关伤害有关.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 疼痛管理 疼痛管理
背景情况:
- 患有慢性创伤性脊髓损伤 (SCI) 的成年人经常经历无意的伤害.
- 在这个人群中,处方阿片类药物的使用是治疗疼痛的常见方法.
- 了解特定阿片类药物与受伤风险之间的关联对于患者安全至关重要.
研究的目的:
- 调查可,氧可和特拉马多尔使用与无意伤害之间的关系.
- 在SCI的成年人中,区分与跌倒相关的和非跌倒相关的伤害.
- 为使用处方阿片类药物的SCI患者提供伤害预防策略的信息.
主要方法:
- 一项涉及918名患有慢性创伤性SCI的成年人的横截面队列研究.
- 在社区环境中通过自我报告评估收集的数据.
- 在过去12个月内检查了需要医疗护理的自我报告的无意伤害 (与跌倒相关的和与跌倒无关的).
主要成果:
- 在过去的一年中,超过20%的参与者报告至少有一次无意伤害.
- 可的使用 (偶尔或定期) 与任何无意伤害的几率增加有关.
- 这三种阿片类药物 - - 可,氧可和特拉马多尔 - - 都与跌倒相关的伤害有显著的相关性.
结论:
- 在SCI成年人的伤害预防工作中,应考虑使用阿片类药物,特别是可.
- 预防跌倒相关伤害的策略必须考虑使用可,氧可和特拉马多尔.
- 进一步的研究可能会探索将阿片类药物使用与SCI人群中受伤风险联系在一起的机制.
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