کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
8693537 1581602 2018 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Use of a prescription opioid registry to examine opioid misuse and overdose in an integrated health system
ترجمه فارسی عنوان
استفاده از رژیم های دارویی نسخه ای برای بررسی سوء مصرف مواد مخدر و مصرف بیش از حد در یک سیستم بهداشتی یکپارچه
کلمات کلیدی
سوء مصرف مواد مخدر، سوء استفاده از اپیوئید، ثبت، رکورد سلامتی الکترونیکی،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب مکمل و جایگزین
چکیده انگلیسی
Strategies are needed to identify at-risk patients for adverse events associated with prescription opioids. This study identified prescription opioid misuse in an integrated health system using electronic health record (EHR) data, and examined predictors of misuse and overdose. The sample included patients from an EHR-based registry of adults who used prescription opioids in 2011 in Kaiser Permanente Northern California, a large integrated health care system. We characterized time-at-risk for opioid misuse and overdose, and used Cox proportional hazard models to model predictors of these events from 2011 to 2014. Among 396,452 patients, 2.7% were identified with opioid misuse and 1044 had an overdose event. Older patients were less likely to meet misuse criteria or have an overdose. Whites were more likely to be identified with misuse, but not to have an overdose. Alcohol and drug disorders were related to higher risk of misuse and overdose, with the exception that marijuana disorder was not related to opioid misuse. Higher daily opioid dosages and benzodiazepine use increased the risk of both opioid misuse and overdose. We characterized several risk factors associated with misuse and overdose using EHR-based data, which can be leveraged relatively quickly to inform preventive strategies to address the opioid crisis.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Preventive Medicine - Volume 110, May 2018, Pages 31-37
نویسندگان
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