儿科医院前阿片类药物接触和社会脆弱性的比较
Stephen Sandelich1, Garrett Cavaliere1, Christopher Buresh2
1Department of Emergency Medicine, Penn State College of Medicine, Pennsylvania State University, Hershey, Pennsylvania.
Prehospital emergency care
|October 31, 2024
概括
社会经济因素影响儿科阿片类药物紧急情况. 虽然社会经济地位较高的地区出现了更多的阿片类药物激活,但社会经济地位较低的地区更频繁地需要纳洛,这表明了护理差异.
科学领域:
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
- 健康差异 在健康上的差异
背景情况:
- 与阿片类药物相关的儿童紧急情况是一个日益严重的公共卫生问题.
- 社会经济因素可能会影响这些紧急情况的发生和管理.
研究的目的:
- 探索社会经济因素与儿科阿片类药物相关紧急情况之间的关系.
- 评估社会经济地位和在医院前的纳洛管理之间的相关性.
主要方法:
- 对国家紧急医疗服务信息系统 (NEMSIS) 数据库的回顾分析 (2018年1月 - 2021年12月).
- 利用社会脆弱性指数 (SVI) 来评估社会经济背景.
- 检查了7,789个与阿片类药物相关的儿科紧急医疗服务 (EMS) 激活.
主要成果:
- 具有较高社会经济地位 (SES) 的地区显示,阿片类药物相关激活的可能性更高 (p=0.0112).
- 相反,较低的SES区域 (较高的SVI得分) 的纳洛的使用频率更高.
- 在改善SES和阿片类药物相关激活之间观察到显著的负线性趋势.
结论:
- 区域SES和儿科阿片类药物相关EMS激活之间存在显著的相关性,与纳洛的使用概率有反向关系.
- 较低的SES区域经历的阿片类药物总活性较少,但纳洛部署率较高.
- 需要进一步的研究来理解和解决跨社会经济景观在阿片类药物危机管理中的差异.
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