在一般医院使用非处方药物:一项回顾性研究
Lee M Dockery1, Kristopher A Kast1, Mariah Smith1
1Vanderbilt University Medical Center, Vanderbilt University School of Medicine, TN.
Journal of the Academy of Consultation-Liaison Psychiatry
|October 6, 2024
概括
患有物质使用障碍的患者在住院期间使用非处方药物 (NPSU) 经历了更长的住院时间和更糟糕的结果. 这包括更高的传染病率和在没有必要的药物治疗阿片类药物使用障碍的情况下出院.
科学领域:
- 成 药物 药物 药物 药物
- 传染性疾病 传染性疾病
- 医院 医院 医疗 医疗 医疗 医疗
背景情况:
- 在住院患者中观察到非处方物质使用 (NPSU),患者有物质使用障碍.
- 这种人群中与NPSU相关的因素和结果需要进一步阐明.
研究的目的:
- 描述一组在医院住院期间表现出NPSU行为的药物使用障碍患者.
- 将疑似NPSU患者的临床特征,资源利用和治疗结果与没有NPSU患者进行比较.
主要方法:
- 分析了来自3100次成咨询接触的电子健康记录数据.
- 通过使用NPSU检查清单进行跨学科审查,确定了NPSU病例 (n=61) 并将其列入NPSU协议.
- 将NPSU队列与没有NPSU怀疑的兴奋剂或阿片类药物使用障碍患者进行了比较.
主要成果:
- 接受NPSU协议的患者年轻,感染性疾病诊断率更高.
- 怀疑NPSU的住院时间更长,医疗建议出院前的出院率增加.
- 在怀疑NPSU组中,没有药物治疗阿片类药物使用障碍的出院率也更高,即使没有感染性疾病的诊断.
结论:
- 这项研究描述了患有NPSU行为的住院患者,并确定了显著的结果差异.
- 在传染病诊断和NPSU之间,以及在疑似NPSU和不良结果之间,发现了直接的相关性.
- 需要进一步的研究来开发旨在减轻NPSU住院患者的不良结果的干预措施.
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