在医院前使用安静剂和镇静剂的种族和民族差异
Thomas J McAdam1, Seth J Prins1, John R Pamplin1
1Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
American journal of preventive medicine
|August 26, 2025
概括
遇到行为健康紧急情况的种族和民族少数群体更有可能被紧急医疗服务 (EMS) 临床医生身体约束或镇静. 这些差异可能会使这些群体的精神病情形恶化.
科学领域:
- 紧急医疗
- 医疗服务研究
- 医疗公平
背景情况:
- 紧急医疗服务 (EMS) 经常处理行为健康紧急情况.
- 医院前使用身体束和镇静剂没有得到充分证实.
- 系统性种族主义和医疗保健问题可能导致少数群体的护理差异.
研究的目的:
- 检查种族/种族与在行为健康紧急情况下使用医院前抑制/镇静剂之间的关联.
- 确定这些关键病人的管理中的潜在差异.
主要方法:
- 分析了2022年ESO数据协作中的12,000,000个EMS遭遇.
- 包括15岁以上的行为健康紧急情况的患者.
- 根据种族/民族,估计控制和/或镇静使用的调整几率 (aOR).
主要成果:
- 7.1% 的行为健康遭遇涉及克制或镇静.
- 与非西班牙裔白人患者相比,所有少数种族/种族群体的身体克制率都增加了.
- 黑人/非洲裔美国人,西班牙裔和美洲印第安人/阿拉斯加原住民患者的镇静率更高;黑人/非洲裔美国人患者的同时抑制和镇静率也更高.
结论:
- 对于种族和族裔少数群体来说, 医院前控制和镇静剂的使用存在差异.
- 这些差异可能会对精神病的结果产生负面影响,特别是对黑人/非洲裔美国患者.
- 解决系统性不平等问题对于改善行为健康紧急护理至关重要.
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