在成年人常见耳鼻喉科手术后,慢性阿片类药物处方
Alizabeth Weber1, Joshua B Smith1, Matthew C Simpson1,2
1Department of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, St Louis, Missouri, USA.
概括
在耳鼻喉科手术后,阿片类药物处方有很大差异. 虽然初始处方是常见的,但长期连续使用阿片类药物在这个患者队列中仍然很低.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 疼痛管理 疼痛管理
- 公共卫生 公共卫生
背景情况:
- 耳鼻喉科手术后的阿片类药物处方模式还没有很好地定义.
- 了解处方实践的变化对于优化疼痛管理和减轻阿片类药物滥用至关重要.
研究的目的:
- 描述短期和长期阿片类药物处方模式及其在常见耳鼻喉手术后的变化.
- 在这个患者群体中确定与慢性阿片类药物使用相关的风险因素.
主要方法:
- 追溯性队列研究,使用2010-2017年无标识索赔-临床数据.
- 分析了19,819名接受常见耳鼻喉科手术的成年患者.
- 多变量建模和时间到事件分析,以评估阿片类药物处方和持续使用.
主要成果:
- 13.0%的患者接受了最初的阿片类药物处方,根据手术有显著的变化 (例如,桃体切除45.4%).
- 在180天和360天持续使用阿片类药物的总比率较低 (0.48%和0.27%).
- 与持续使用相关的因素包括桃体切除术,年龄较大,先前的阿片类药物处方和非耳鼻喉学处方者.
结论:
- 耳鼻喉科手术后最初的阿片类药物处方存在实质性的差异.
- 在手术后保持连续阿片类药物处方的总体率非常低.
- 这些发现强调了需要标准化处方指南和有针对性的干预措施来管理阿片类药物使用.
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