关于老年人甲维持治疗的死亡率的系统审查
Farhana Nazmin1, Tuheen Sankar Nath2, Therese Anne Limbaña3,4
1Psychiatry, BronxCare Health System, Bronx, USA.
Cureus
|October 9, 2024
概括
在老年人中,阿片类药物使用障碍 (OUD) 的甲维持治疗 (MMT) 显示出由并发症影响的可变死亡率 (2-10%). 坚持和更长时间的治疗与更好的结果相关,强调需要综合,适合年龄的护理.
科学领域:
- 老年学是一门学科.
- 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:
- 阿片类药物依赖是一个重要的公共卫生问题,特别是在有多种健康状况的老年人中.
- 甲维持治疗 (MMT) 对阿片类药物使用障碍 (OUD) 至关重要,但对老龄化人口构成挑战.
研究的目的:
- 评估MMT对老年人的健康结果的影响.
- 为了确定死亡预测因素,并评估老年MMT患者的死亡率.
主要方法:
- 按照PRISMA指南进行系统的文献搜索 (PubMed,Scopus,科学网,谷歌学者).
- 包括发表于2000年1月至2023年12月的研究,重点关注60岁以上接受MMT的患者,并提供死亡率数据.
- 分析了15项研究.
主要成果:
- 导致死亡的主要原因是过量服用,呼吸道和心血管疾病.
- 年均死亡率在2%至10%之间.
- 伴随性疾病显著影响了结果;更高的坚持和更长的治疗与更好的健康和更低的死亡率相关.
结论:
- 老年MMT患者需要综合护理模式来解决成和慢性疾病.
- 对这一群体来说,性别具体干预和政策改革是必不可少的.
- 适合年龄的护理模式对于改善临床结果和降低老年OUD患者的死亡率至关重要.
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