一项回顾性观察性研究,以了解失眠障碍患者的药物使用和治疗方法
Laveena Kamboj1,2, Barbara Ramos1, Adam Haynes1
1Eisai Ltd, Mississauga, Canada.
The Journal of clinical psychiatry
|September 12, 2024
概括
不适当的失眠药物使用在加拿大很常见,特别是在老年人中,造成安全风险和高成本. 需要更安全的治疗选择和指南教育.
科学领域:
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
- 老年病的医生 老年病的医生
背景情况:
- 失眠是一种普遍存在的睡眠障碍,与各种健康问题有关.
- 目前的失眠药物如果不按照指南处方,就会带来安全风险.
- 了解现实世界处方对于患者安全和医疗保健效率至关重要.
研究的目的:
- 分析加拿大的失眠药物处方模式.
- 为了确定潜在的不适当药物使用率.
- 评估失眠药物治疗的财务影响.
主要方法:
- 加拿大药物索赔数据 (2018-2020年) 的回顾性分析.
- 识别患有失眠药物索赔的患者.
- 定义的不适当使用:高剂量,长时间使用二胺/Z药物,多药,和阿片类药物重叠.
主要成果:
- 在2019年,发现了超过597,000名失眠患者.
- 不适当的药物使用影响了52.5%的成年人和69.5%的老年人.
- 使用时间延长是最常见的不当做法,导致3030万美元的成本.
结论:
- 不适当使用失眠药物的高率引发了严重的安全问题,特别是对于老年人来说.
- 加拿大医疗保健系统面临巨大的财务负担,原因是处方不足.
- 迫切需要改善指南教育和开发更安全的失眠治疗方法.
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