对于患有慢性疼痛和阿片类药物相关伤害风险较高的住院患者的干预:试点随机对照试验
Melissa B Weimer1,2, Michele J Buonora3,4, Alexandra M Hajduk5
1Section of General Internal Medicine, Department of Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Journal of hospital medicine
|April 24, 2025
概括
开发电子病历 (EMR) 工具以识别患有慢性疼痛和阿片类药物风险的住院患者是可行的. 这种EMR为阿片类药物管理和疼痛管理提供的干预措施也在这个高风险人群中被证明是可行的.
科学领域:
- 疼痛管理 疼痛管理
- 临床信息学 临床信息学
- 药理学 药理学是指药理学的学科.
背景情况:
- 对于患有慢性疼痛和高阿片类药物相关伤害风险的住院患者来说,管理镇痛是复杂的.
- 阿片类药物管理计划提供潜在的指导,但它们在这个特定的患者群体中的可行性仍未得到审查.
研究的目的:
- 为这一群体创建一个病例识别工具.
- 评估电子医疗记录 (EMR) 提供的阿片类药物管理和疼痛干预的可行性.
主要方法:
- 开发并验证了慢性疼痛和阿片类药物风险的病例识别工具.
- 随机选择的患有慢性疼痛和阿片类药物风险的住院成年人接受EMR提供干预或通常护理.
- 通过招聘,保留和评估完成评估可行性;探索与疼痛相关的临床结果.
主要成果:
- 病例识别工具表现出高的操作特征 (88.9%的灵敏度,95.7%的特异性).
- 通过招募54%的潜在参与者,100%的评估完成和87%的保留在4周后,可行性得到证实.
- 两组都接受了56%的指导方针一致的护理,在阿片类药物或双臂之间疼痛管理方面没有显著差异.
结论:
- 基于EMR的工具可以有效地识别患有慢性疼痛和阿片类药物风险的住院患者.
- 在这个人群中,EMR提供的阿片类药物管理和疼痛干预措施是可行的.
- 可能需要进一步的策略来加强与指南一致的护理服务.
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