在住院患者的环境中,针对阿片类药物使用障碍 (MOUD) 处方药物的流行,模式和预测因素
Ashley Burke1, Nina Vadiei2, Lea Mollon1
1Banner - University Medical Center South, 2800 Ajo Way, Tucson, AZ 85713, United States.
Drug and alcohol dependence reports
|January 7, 2025
概括
对阿片类药物使用障碍 (MOUD) 的药物在出院时被处方给只有30.1%的阿片类药物使用障碍 (OUD) 的住院患者,这些患者经历了戒断. 阿片类药物戒断的严重程度和排泄类型影响了MOUD的处方.
科学领域:
- 医学研究 医学研究
- 临床药房 临床药房
- 公共卫生 公共卫生
背景情况:
- 治疗阿片类药物使用障碍 (MOUD) 的药物对于治疗阿片类药物使用障碍 (OUD) 至关重要.
- 处方MOUD面临着许多障碍在住院患者的设置.
- 这项研究调查了MOUD对经历阿片类药物戒断的住院患者的处方模式.
研究的目的:
- 评估MOUD在医院出院时处方的流行率和模式.
- 在OUD和阿片类药物戒断患者中确定MOUD处方的预测因素.
- 为提高MOUD在住院患者中的使用率制定策略.
主要方法:
- 一项多中心,回顾性横截面研究分析了2021年1月1日至2022年1月1日的382名患者接触.
- 包括的患者被诊断为OUD,并在住院期间出现了阿片类药物戒断.
- 多变量回归分析了患者特异性因素,预测了MOUD释放的处方.
主要成果:
- 在249名OUD患者中,有75名 (30.1%) 患有MOUD.
- 中度/重度阿片类药物戒断 (OR 2.87) 和常规放电 (OR 7.63) 增加了MOUD的几率.
- 医院的位置 (城与图森,OR 8.23) 也预测了MOUD的处方.
结论:
- 不到三分之一的符合条件的患者在出院时接受了MOUD.
- 阿片类药物戒断的严重程度,放出处置和治疗设施是关键预测因素.
- 这些发现可以指导卫生系统和政策制定者提高MOUD处方率.
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