在加拿大长期护理设施中,常规阿氨基 (偏醇) 的使用和成本
Roni Y Kraut1, Xueyi Chen2, Scott R Garrison1
1Department of Family Medicine, University of Alberta, Edmonton, Alberta, Canada.
Journal of the American Medical Directors Association
|June 24, 2025
概括
在加拿大长期护理 (LTC) 设施中,定期使用乙氨基 (偏醇) 是常见的,尽管有证据表明其价值低且可能有害. 这种广泛使用造成了巨大的成本,包括财务,环境和护理时间.
科学领域:
- 老年学是一门学科.
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 乙氨基 (偏醇) 经常用于长期护理 (LTC).
- 有证据表明,其在LTC中的定期使用可能具有低价值,不会显著改善疼痛或生活质量.
- 与定期使用乙氨基相关的潜在不良影响需要调查.
研究的目的:
- 评估加拿大LTC设施中经常使用乙氨基的患病率.
- 确定相关成本,包括财务支出,碳足迹和护理时间.
主要方法:
- 在加拿大LTC设施中进行了一项横截面研究.
- 分析了2022年全国LTC药房提供商的数据.
- 描述性统计描述了流行率,剂量,发行频率和成本.
主要成果:
- 包括49,419名居民;45.7%的人定期接受乙氨基.
- 每日高剂量 (>1000毫克/天) 和频繁的处方 (≥3次/天) 是常见的.
- 费用包括87万美元,54.8二氧化碳和191,000个护理小时.
结论:
- 在加拿大的LTC环境中,定期使用乙氨基非常普遍.
- 这种使用代表了相当大的财务,环境和资源负担.
- 建议重新评估LTC中对乙氨基的处方做法.
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