对紧急医疗服务布普伦诺啡 (EMS-Bupe) 计划进行全面审查和共识建议
Anjni P Joiner1,2, Jessica Wanthal1,2, Angela N Murrell3
1Department of Emergency Medicine, Duke University, Durham, North Carolina.
Prehospital emergency care
|January 2, 2025
概括
紧急医疗服务 (EMS) 机构正在开发针对阿片类药物使用障碍 (OUD) 的布普伦诺芬计划. 本综述为EMS-Bupe计划开发提供了共识建议,强调以患者为中心的护理和社区资源整合.
科学领域:
- 紧急医疗 紧急医疗
- 药物中毒药物 药物中毒药物
- 公共卫生 公共卫生
背景情况:
- 紧急医疗服务 (EMS) 机构越来越多地通过布普伦诺芬计划 (EMS-Bupe) 为阿片类药物使用障碍 (OUD) 提供低障碍治疗.
- 对于这些新兴的EMS-Bupe计划,目前缺乏基于证据的实践.
- 为了有效的程序开发和实施,需要标准化的协议.
研究的目的:
- 进行对现有的EMS-buprenorphine和急诊室 (ED) 药物的范围审查,用于OUD计划.
- 为开发EMS-Bupe计划产生基于共识的建议.
- 为了解决目前EMS-Bupe计划结构和实践中观察到的变异性.
主要方法:
- 对EMS-Bupe和ED MOUD程序进行了全面的范围审查.
- 搜索包括主要数据库 (Ovid MEDLINE,Embase,Cochrane,Web of Science) 的英语文章和摘要.
- 基于审查结果和补充文献,制定了共识建议.
主要成果:
- 审查确定了9篇EMS-Bupe文章/摘要和21篇ED MOUD摘要,详细介绍了4个州的5个EMS-Bupe计划.
- 在基础设施,布普伦诺芬剂量和患者保留率方面注意到了显著的计划变化.
- 结果被分为8个关键领域,包括计划基础设施,资格标准,剂量,临床医师培训和数据管理.
结论:
- 关于EMS-Bupe计划的有限数据强调了相当大的变化.
- 建议强调社区参与,建立当地资源伙伴关系,并优化患者资格和保留协议.
- 低障碍,以患者为中心的策略对于防止治疗缺口和确保护理连续性至关重要.
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