在参加阿片类药物过量预防计划的急诊室患者中,与拒绝带回家的纳洛相关的因素
Clare O'Brien-Lambert1, Keri Althoff2, Jennifer Barvincak1
1Icahn School of Medicine at Mount Sinai.
The Journal of emergency medicine
|September 17, 2024
概括
治疗阿片类药物使用障碍的急诊室患者更有可能拒绝服用纳洛 (THN). 那些在ED开始服用药物的人不太可能拒绝,突出需要有针对性的THN分发策略.
科学领域:
- 紧急医疗 紧急医疗
- 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:
- 在减少阿片类药物过量 (OD) 死亡的情况下,家庭纳洛 (THN) 的公平分配至关重要.
- 了解患者拒绝THN对于改善分发策略至关重要.
研究的目的:
- 描述急诊室 (ED) 患者的人口统计和临床特征,这些患者 THN.
- 通过分析拒绝模式,为更有效的THN分配产生假设.
主要方法:
- 从单个城市ED. 的THN程序数据和电子健康记录的回顾性图表审查.
- 使用奇平方和t测试拒绝和接受THN的患者之间的特征比较.
- 多变量建模以确定与THN拒绝相关的因素.
主要成果:
- 在711名ED患者中,有46%的人接受了THN.
- 用药治疗阿片类药物使用障碍 (MOUD) 的患者的拒绝几率更高 (OR 1.9).
- 患有药物过量史或在ED处方布普伦诺芬的患者的拒绝几率较低.
结论:
- 人口因素在THN接受者和拒绝者之间没有显著差异.
- 目前的MOUD治疗与THN拒绝有关,而在ED中启动MOUD与接受有关.
- 需要进一步的研究来确定THN衰退的根本原因,并制定有针对性的干预措施.
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