在美国 (2007-2018) 紧急诊所治疗背部疼痛的氧化和含氧化的止痛药的使用趋势
Jonathan Chabon1, Jemer Garrido1, Deanna Schreiber-Gregory1
1Department of Emergency Medicine, Maimonides Medical Center, Brooklyn 11219, USA.
2007年至2018年期间,美国急诊室对背部疼痛的氧化处方总体下降了62.3%. 然而,对老年人,女性,黑人和西班牙裔/拉丁裔患者的处方增加了.
科学领域:
- 疼痛管理 疼痛管理
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
背景情况:
- 背部疼痛是急诊室 (ED) 访问的常见原因之一.
- 氧化和含有氧化的止痛药已被广泛用于治疗疼痛.
- 了解处方趋势对于公共卫生倡议至关重要.
研究的目的:
- 分析美国EDs背部疼痛的氧化处方趋势.
- 为了检查对背部疼痛止痛药的使用人口结构的变化.
主要方法:
- 利用了2007-2018年国家医院门诊医疗调查 (NHAMCS) 的数据.
- 使用诊断码和药物标识符识别背部疼痛的患者.
- 计算了被处方的氧和含氧的止痛药的比例.
主要成果:
- 从2007年到2018年,治疗背部疼痛的氧化处方总量下降了62.3%.
- 45岁以上的患者,女性,黑人和西班牙裔/拉丁裔患者的处方增加.
- 氧化/乙氨基的使用量下降,而纯氧化的使用量显著增加.
结论:
- 尽管总体下降,但对背部疼痛的氧化处方在特定的人口群体中显示出令人担忧的上升趋势.
- 转向纯氧化的转变需要进一步调查.
- 这些发现凸显了针对疼痛管理策略的有针对性的干预措施的必要性.
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