在OUD患者中,成咨询服务和住院治疗结果
Andrea Jakubowski1, Sumeet Singh-Tan2, Kristine Torres-Lockhart3
1Division of General Internal Medicine, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA. ajakubow@montefiore.org.
Journal of general internal medicine
|August 13, 2024
概括
成咨询服务 (ACS) 显著增加了用于阿片类药物使用障碍 (MOUD) 的住院药物治疗. 这些服务促进基于证据的阿片类药物使用障碍 (OUD) 护理.
科学领域:
- 成 药物 药物 药物 药物
- 医院 医院 医疗 医疗 医疗 医疗
- 公共卫生 公共卫生
背景情况:
- 由于阿片类药物使用障碍 (OUD) 的住院病例正在增加,但对于OUD (MOUD) 启动的住院药物治疗仍然很低.
- 成咨询服务 (ACS) 旨在改善MOUD启动和退院后的护理,但需要严格的结果评估.
研究的目的:
- 评估ACS咨询和住院MOUD启动之间的关联.
- 评估ACS对排放MOUD提供和排放后MOUD链接的影响.
主要方法:
- 追溯性研究比较100名接受ACS咨询的患者与100名倾向性得分匹配的历史对照.
- 结局包括住院MOUD启动 (甲/布普伦诺芬),出院处方,以及在30-60天内出院后的联系.
主要成果:
- ACS咨询与显著更高的住院患者MOUD启动相关 (OR 2.57).
- ACS与住院患者的布普伦诺芬启动 (OR 5.50),出院的布普伦诺芬处方 (OR 17.22) 和出院后的联系有很强的相关性.
- 在60天内 (22.0%对0.0%) 和30天内 (7.0%对0.0%) 甲的布普伦诺芬处方显著增加.
结论:
- ACS咨询显示了与改善住院MOUD启动和出院后MOUD联系的强烈关联.
- 在促进OUD患者基于证据的护理提供方面,ACS是有效的.
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