社会经济地位或甲基胺使用是否会影响烧伤患者的阿片类药物需求?
Shawn Tejiram1, Eve A Solomon2, Soman Sen3
1The Burn Center, MedStar Washington Hospital Center, District of Columbia, USA.
概括
这项研究发现,虽然较低的社会经济地位 (SES) 与烧伤患者的甲基胺 (MA) 使用有关,但它不能预测出院的阿片类药物需求. 麻醉剂的使用本身并没有影响阿片类药物需求,但疼痛评分和其他药物有影响.
科学领域:
- 烧伤伤害研究研究
- 疼痛管理 疼痛管理
- 健康中的社会经济因素
背景情况:
- 甲基胺 (MA) 的使用与较低的社会经济地位 (SES) 和较高的阿片类药物使用有关.
- 在烧伤患者中使用MA与较大的伤害和更长的住院时间有关.
- 关于SES如何影响MA使用的烧伤患者的阿片类药物使用的研究有限.
研究的目的:
- 调查SES和MA使用对烧伤患者出院阿片类药物需求的影响.
- 为了确定SES是否会影响MA使用烧伤患者的阿片类药物需求.
- 分析MA使用,SES和疼痛管理结果之间的关系.
主要方法:
- 对2016年1月至2017年12月期间入院的烧伤患者的回顾性审查.
- 通过尿液毒理学将患者分为MA阳性 (MPOS) 和MA阴性 (MNEG) 组.
- 排放阿片类药物等价物 (OE),疼痛评分和SES (根据邮政编码确定) 的分析.
主要成果:
- 在排放OE或MPOS和MNEG组之间的疼痛得分没有显著差异.
- 较低的SES在MPOS患者中更为普遍,但不是排放阿片类药物使用或疼痛的预测因素.
- 出院的阿片类药物需求与疼痛评分和停留时间 (LOS) 相相关,而不是SES.
结论:
- 较低的SES与烧伤患者的MA使用有关,但不能独立预测出院的阿片类药物需求.
- 与最初的假设相反,MA使用状态与放出阿片类药物需求无关.
- 疼痛评分,MA状态和同时使用特定的辅助药物独立预测了阿片类药物需求.
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