在成年人中,潜在不适当的兴奋剂处方的预测因素
Pavan V Thakkar1, Angelique E Boutzoukas1,2, Scott N Compton3
1Duke Clinical Research Institute, Durham, North Carolina, USA.
Pharmacoepidemiology and drug safety
|January 12, 2025
概括
对于成年人来说,潜在不合适的兴奋剂处方随着年龄和时间的推移而增加. 初级保健访问和药物滥用史与这些处方趋势有关,突出了改善安全协议的必要性.
科学领域:
- 药理学和治疗学 药理学和治疗学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 成人兴奋剂的处方数量有所增加,由于这一人口群体中禁忌条件的比率较高,风险增加.
- 识别与可能不合适的处方相关的因素对于患者安全至关重要.
研究的目的:
- 确定患者,提供者和访问特征,预测可能不适当的成人兴奋剂处方.
- 分析随着时间的推移可能不适当的兴奋剂处方的趋势.
主要方法:
- 一项重复的横截面研究利用了2012年至2019年的全国门诊医疗保健调查 (NAMCS).
- 分析了超过54亿次门诊护理访问的全国代表性样本.
- 根据美国食品和药物管理局 (FDA) 的兴奋剂标签和禁忌条件,确定了潜在的不适当的处方.
主要成果:
- 潜在不合适的兴奋剂处方随着患者年龄和研究期间的增加而增加.
- 参观初级保健提供者预测不适当的处方 (RR 1.65).
- 诸如怀孕 (RR 0.05) 和玻璃眼 (RR 0.07) 等特定疾病与处方普遍性降低有关,而药物滥用则预测了新的处方 (RR 2.14).
结论:
- 潜在不合适的成人兴奋剂处方的比例正在上升,特别是随着患者年龄的增加.
- 初级保健环境和药物滥用史是与不适当的兴奋剂处方相关的关键因素.
- 建议采取质量改善举措,重点关注安全的兴奋剂处方实践.
关键词:
更多关于 ADHD ADHD 的文章门诊护理服务 门诊护理氨基胺是一种安非他命.中枢神经系统刺激剂 中枢神经系统刺激剂适应性 适应性 适应性 适应性没有适当的处方.精神药物 精神药物是一种精神药物.更多相关视频
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