在烧伤后的慢性阿片类药物处方中的种族差异:回顾性队列研究
Joshua E Lewis1, Bethel D Desta1, Gengi E Kleto1
1John Sealy School of Medicine, University of Texas Medical Branch, 301 University Boulevard, Galveston, Texas, USA 77555-1317.
概括
在治疗烧伤后慢性疼痛的阿片类药物处方方面存在种族差异. 黑人,亚洲人和夏威夷原住民患者的阿片类药物处方比白人患者少,这表明疼痛管理不公平.
科学领域:
- 疼痛管理 疼痛管理
- 健康 公平 卫生 公平
- 烧伤伤害研究研究
背景情况:
- 慢性疼痛是烧伤幸存者的常见和严重并发症.
- 类阿片类止痛药是治疗严重和慢性疼痛的标准.
- 现有的研究表明,在阿片类药物处方方面存在种族差异,特别是在黑人患者身上.
研究的目的:
- 调查在烧伤患者中治疗慢性疼痛的阿片类药物处方中的种族和种族差异.
- 确定在黑人患者中观察到的差异是否延伸到其他种族和民族群体.
主要方法:
- 利用TrinetX数据库识别患有慢性疼痛的成年烧伤患者 (2016-2023).
- 雇员倾向性得分与控制对象相匹配,用于混变量,如年龄,烧伤严重程度和并发症.
- 在受伤后6个月和12个月分析了阿片类药物处方率,使用单变回归和几率比率 (ORs).
主要成果:
- 在32,167名患者中,白人患者是最大的群体 (63.66%).
- 与白人患者相比,黑人 (OR:0.693),亚洲人 (OR:0.576),夏威夷原住民 (OR:0.313) 和其他种族患者接受阿片类药物处方的几率明显较低.
- 在美国印第安人患者中,没有发现阿片类药物处方率的显著差异 (OR:0.809).
结论:
- 在治疗慢性疼痛的阿片类药物处方方面存在显著的不平等,在各种种族和民族群体中存在烧伤后伤害.
- 这些发现凸显了系统变革的必要性,以确保所有烧伤幸存者的平等疼痛护理.
- 进一步的研究和政策干预对于解决这些差异至关重要.
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