蒙特卢卡斯特在门诊专科诊所处方:一个单一中心的横截面研究
David C Foote1, Jamie L Miller2, Grant H Skrepnek3
1Department of Experiential Education, The University of Oklahoma Health Sciences College of Pharmacy, 1110 N Stonewall Ave, CPB 139, Oklahoma City, OK 73117, United States of America.
Exploratory research in clinical and social pharmacy
|October 1, 2024
概括
在专科诊所中,不到5%的患者出现了蒙特卢卡斯特的脱处方. 停药的原因包括共享决策和不充分的反应,需要进一步调查抑郁症的因素.
科学领域:
- 药理学 药理学是指药理学的学科.
- 临床药房 临床药房
- 医疗保健服务研究 医疗服务研究
背景情况:
- 蒙特卢卡斯特是治疗喘和过敏性鼻炎的广泛处方药.
- 降低处方的目的是优化药物治疗方案并减少潜在的危害.
- 了解抑郁症描述模式对于制定指南和临床实践至关重要.
研究的目的:
- 确定门诊专科诊所中蒙特卢卡斯特不处方的频率和流行率.
- 评估蒙特卢卡斯特停止治疗的记录原因.
主要方法:
- 进行了一项单中心,回顾性,横截面研究.
- 包括21家专科诊所的活跃蒙特卢卡斯特处方的成年人 (≥18岁).
- 评估了2021年1月至2022年12月的抑郁症事件和原因.
主要成果:
- 在1152名符合条件的患者中,蒙特卢卡斯特的脱处方发生在3.7%的患者中.
- 处方率因专业而异:神经病学 (41.9%),耳鼻喉科 (30.2%) 和肺部病学 (27.9%).
- 停药的记录原因包括共享决策 (11.6%),反应不足 (7.0%) 和不良事件 (2.3%).
结论:
- 在这些门诊专科机构中,蒙特卢卡斯特的降低处方率很低 (<5%).
- 需要进一步的研究来确定影响蒙特卢卡斯特减记的因素.
- 临床实践可能会从了解患者和提供者关于停止蒙特卢卡斯特治疗的观点中受益.
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