在青少年中非致命的阿片类药物过量治疗急诊室访问的趋势
Michael S Toce1, Kenneth A Michelson2, Michael C Monuteaux3
1Division of Emergency Medicine, Boston Children's Hospital, Boston, Massachusetts; Harvard Medical Toxicology Program, Boston Children's Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
概括
青少年因非致命的阿片类药物过量服用而访问急诊室的情况保持稳定. 大多数重访是因为心理健康问题,这强调了综合心理健康护理的必要性.
科学领域:
- 公共卫生 公共卫生
- 青少年医学 青少年医学
- 毒理学 毒理学 毒理学
背景情况:
- 青少年中与阿片类药物相关的死亡人数正在上升.
- 了解非致命阿片类药物过量治疗的急诊室 (ED) 访问对于预防至关重要.
- 这项研究检查了青少年阿片类药物过量使用的趋势和复查率.
研究的目的:
- 调查青少年因非致命的阿片类药物过量服用而进行ED访问的趋势.
- 评估一年的ED复查的速率和特征.
- 告知治疗策略,以预防与阿片类药物相关的发病率和死亡率.
主要方法:
- 使用儿科健康信息系统数据库进行回顾性队列研究.
- 包括从2010年1月到2022年12月的青少年 (12-17岁) 非致命的阿片类药物过量服用.
- 分析了使用负二项式回归的趋势,并评估了1年的ED复查率.
主要成果:
- 确定了1874名青少年因非致命的阿片类药物过量而进行ED访问; 79.4%涉及处方阿片类药物.
- 访客数量保持稳定:每10万名ED访客中有32.7 (2010) 至30.3 (2022年).
- 27.5%的患者进行了1年的ED复诊,最常见的是心理健康 (39.3%).
结论:
- 青少年因非致命的阿片类药物过量服用而访问ED显示稳定的趋势.
- 心理健康投诉是再访的最常见原因.
- 强调需要在ED访问期间提供一致的心理健康服务和转诊,以帮助青少年过量服用阿片类药物.
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