"在医疗建议"医院出院之前和随后药物过量服用的风险:一个案例交叉分析
John A Staples1,2, Xiao Hu1,2,3, Mayesha Khan1
1Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
患者发起的医院出院,称为"医疗建议" (BMA) 出院之前,增加了随后药物过量服用的风险. 医生建议的出院也增加了过量服用的风险,强调了需要更好的护理过渡的需要.
科学领域:
- 公共卫生 公共卫生
- 临床医学 临床医学
- 药物成科学 药物成科学
背景情况:
- 患者发起的 (患者发起的)
- 在医疗咨询之前.
- 患有物质使用障碍的人群中,出院的情况更为普遍.
- 护理过渡可以使患者不稳定,可能增加后续非法药物过量服用的风险.
研究的目的:
- 评估BMA释放与随后药物过量服用风险增加之间的关联.
- 评估医生建议的出院是否与随后药物过量服用的风险增加有关.
主要方法:
- 一个案例交叉分析利用了来自加拿大不列颠哥伦比亚省 (2016-2019) 的基于人口的相关行政健康数据.
- 条件后勤回归比较了在过量服用前28天内出院的可能性和两个匹配的对照间隔.
- 该研究的重点是研究期间经历过量服用的个体.
主要成果:
- BMA排泄与随后药物过量服用的风险增加了两倍 (aOR,2.08;95% CI,1.68-2.58).
- 医生建议的出院也成为随后过量服用的重要危险因素 (aOR,1.39;95% CI,1.27-1.52).
- 这些关联仍然具有统计学意义 (p < 0.001).
结论:
- 无论是BMA还是医生建议的医院出院,都与随后非法药物过量风险的暂时增加有关.
- 建议加强对物质使用障碍的住院治疗.
- 需要新的放出后宣传策略来缓解过量风险.
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