在工人赔偿患者中处方阿片类药物的趋势 接受脚手术的工人赔偿患者
Tyler M Goodwin1, Daniel T Miles1, Richard D Murray1
1Department of Orthopaedic Surgery, University of Tennessee College of Medicine Chattanooga, Chattanooga, Tennessee.
Foot & ankle specialist
|October 9, 2024
概括
接受足手术的工人赔偿患者在术后使用了更多的阿片类药物. 医生应该在手术前与这些患者讨论阿片类药物的期望和限制.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在手术后的阿片类药物处方模式和使用情况在不同患者群体之间有很大差异.
- 了解这些差异对于优化术后疼痛管理和减轻与阿片类药物使用相关的风险至关重要.
研究的目的:
- 为了比较阿片类药物使用和处方趋势,工人赔偿 (WC) 患者与非WC患者在足部或脚手术后.
- 为了确定这些群体之间在术后阿片类药物管理中的潜在差异.
主要方法:
- 进行了一项回顾性队列研究,分析了118名患者 (51名WC,67名非WC) 的数据,这些患者接受了脚或脚手术.
- 关键的结果指标包括总吗啡毫克相当量 (MME) 和手术后填补的阿片类药物处方数量.
主要成果:
- 工人赔偿患者在手术后显著更有可能获得2个或更多额外的阿片类药物处方 (67%对39%,OR 3.1,P = .003).
- 在WC队列中,氧化MME的总体处方量较高 (P = .002),并趋向于更高的化MME (P = .07).
结论:
- 在手术后的阿片类药物消费和处方率在足手术后的工人赔偿患者中较高.
- 医生应该主动与WC患者在手术前讨论预期的阿片类药物使用和处方限制,以管理预期并确保安全的处方实践.
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