Opioid Prescribing Practices for Pediatric Headache.
Opioid Prescribing Practices for Pediatric Headache.
复制标题
小儿头痛的阿片类药物处方实践。
DOI：
10.1016/j.jpeds.2018.08.078
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Sun,BenjaminC
中科院分区：
文献类型：
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作者：
Meckler,GarthD;Sheridan,DavidC;Charlesworth,ChristinaJ;Lupulescu-Mann,Nicoleta;Kim,Hyunjee;Sun,BenjaminC
ObjectivesTo characterize the frequency of opioid prescription for pediatric headache in both ambulatory and emergency department（艾艾德）settings，including prescription rates by provider type.Study designA retrospective cohort study of华盛顿State Medicaid beneficiaries，aged 7-17 years，with an ambulatory care or艾德visit for headache between January 1，2012，and September 30，2015.主要结果是任何阿片类药物规定在1天内visit.ResultsA共51 720次访问，包括83%的门诊和17%ED。有一个占主导地位的女性（63.2%）和青少年（59.4%）患者，和30.5%的遭遇涉及儿科医生。在3.9%的艾德和1.0%的门诊就诊中使用阿片类药物（P<0.001）。儿科医生不太可能在艾德（-2.70个百分点; 95%CI，-3.53至-1.88）和门诊设置（-0.31个百分点; 95%CI，-0.54至-0.08;P<0.001）。结论小儿头痛的阿片类药物处方率较低，但设置和供应商专业观察到显着差异。我们将非儿科医生的阿片类药物处方确定为质量改进工作的潜在目标。
ObjectivesTo characterize the frequency of opioid prescribing for pediatric headache in both ambulatory and emergency department (ED) settings, including prescribing rates by provider type.Study designA retrospective cohort study of Washington State Medicaid beneficiaries, aged 7-17 years, with an ambulatory care or ED visit for headache between January 1, 2012, and September 30, 2015. The primary outcome was any opioid prescribed within 1 day of the visit.ResultsA total of 51 720 visits were included, 83% outpatient and 17% ED. There was a predominance of female (63.2%) and adolescent (59.4%) patients, and 30.5% of encounters involved a pediatrician. An opioid was prescribed in 3.9% of ED and 1.0% of ambulatory care visits (P< .001). Pediatricians were less likely to prescribe opioids in both ED (-2.70 percentage point; 95% CI, -3.53 to -1.88) and ambulatory settings (-0.31 percentage point; 95% CI, -0.54 to -0.08;P< .001).ConclusionsOpioid prescribing rates for pediatric headache were low, but significant variation was observed by setting and provider specialty. We identified opioid prescribing by nonpediatricians as a potential target for quality improvement efforts.