在英国术后患者中探索带回家的阿片类药物管理 (ETHOS)
Zoe K Reed1,2, Samantha Lai Sheung Ma3, Hanin Ramadan4
1St John's College, University of Oxford, Oxford, UK.
British journal of pain
|April 23, 2025
概括
在英国,手术后的阿片类药物处方过多. 患者仅使用了34.4%的处方阿片类药物,冒着滥用和过量服用的风险. 为了安全的外科康复,需要量身定制的处方.
科学领域:
- 疼痛管理 疼痛管理
- 术后恢复 术后恢复
- 药物监督 药物监督 药物监督
背景情况:
- 手术是最初处方阿片类药物的主要原因.
- 意想不到的长期使用阿片类药物是一个重大问题.
- 英国缺乏关于手术后出院后阿片类药物使用的数据.
研究的目的:
- 调查阿片类药物的处方和使用在医院出院后用于英国常见的外科手术程序.
- 为了量化患者手术后使用的阿片类药物的数量与未使用的数量.
主要方法:
- 在牛津大学医院NHS基金会信托基金会进行了一项队列研究.
- 包括20种常见的成人外科手术程序,每次手术至少调查了20名患者.
- 一个电话问卷评估了阿片类药物的使用6-8天后释放;剂量被转换为口服吗啡等效 (OME).
主要成果:
- 在所有手术类型中,阿片类药物处方明显超过了患者的需求.
- 处方实践显示出相当大的差异,特别是在创伤和骨科.
- 在426名患者中,65.6%的发放的OME (36,108.5毫克) 仍未在社区中使用.
结论:
- 手术后过度处方阿片类药物很普遍,导致浪费,成本和患者风险.
- 对于处方阿片类药物处方的程序特定证据库至关重要.
- 需要一个"足够但不太多"的处方策略来平衡镇痛和最大限度地降低风险.
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