Evaluating Providers' Prescription Opioid Instructions to Pediatric Patients.
Evaluating Providers' Prescription Opioid Instructions to Pediatric Patients.
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DOI：
10.3390/children9050707
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发表时间：
2022-05-11
期刊：
影响因子：
2.4
通讯作者：
Ewing, Sarah W. Feldstein
中科院分区：
文献类型：
--
作者：
Tran, Denise D.;Brown, Patrick C. M.;Murphy, Corrin;Ho, Diana;Hudson, Karen A.;Wilson, Anna C.;Ewing, Sarah W. Feldstein
在儿童时期接受阿片类药物处方会增加成年后使用危险处方阿片类药物（PO）的风险。关于如何安全使用PO的指导在儿科患者适当使用和停用PO的能力中起着至关重要的作用。本研究旨在评价提供给大样本儿科门诊患者的儿科PO标签说明。从电子医疗记录系统中提取数据，确定2016年至2019年期间从儿科门诊医疗诊所接受PO的儿科患者隶属于美国西北部医疗中心和儿童医院。纳入了在门诊治疗期间接受PO的0-17岁儿童患者（n = 12，613）。患有慢性健康状况的患者（例如，癌症）或从住院医疗机构接受PO的患者被排除。患者人口统计、用药说明、相关诊断和其他处方信息（例如，药物名称、剂量和分配的数量）使用自动文本分类进行检查。许多标签说明不包括任何适应症/使用原因（20.8%）。几乎没有PO（>99%）包含如何减少/停用PO的说明、PO相关问题的联系信息和/或如何处置PO的说明。需要努力确保儿科PO说明包含基本要素，以提高对儿科患者何时以及如何使用PO的理解。
Receiving an opioid prescription during childhood increases the risk of hazardous prescription opioid (PO) use during emerging adulthood. Instruction on how to safely use POs plays an essential role in pediatric patients’ capacity to utilize as well as to discontinue POs appropriately. This study aimed to evaluate pediatric PO label instructions provided to a large sample of pediatric outpatients. Data were extracted from the electronic healthcare records system identifying pediatric patients who received a PO between 2016 and 2019 from pediatric outpatient medical clinics were affiliated with a northwestern United States medical center and children’s hospital. Pediatric patients (n = 12,613) between 0–17 years old who received a PO during outpatient care were included. Patients with chronic health conditions (e.g., cancer) or who received their PO from an inpatient medical setting were excluded. Patient demographics, medication instructions, associated diagnoses, and other prescription information (e.g., name of medication, dose, and quantity dispensed) were examined using automated text classification. Many label instructions did not include any indication/reason for use (20.8%). Virtually none of the POs (>99%) included instructions for how to reduce/wean off POs, contact information for questions about the POs, and/or instructions around how to dispose of the POs. Efforts are needed to ensure that pediatric PO instructions contain essential elements to improve comprehension of when and how to use POs for pediatric patients.
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DOI：
10.1016/j.ijmedinf.2018.09.009
发表时间：
2018-12-01
影响因子：
4.9
作者：
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通讯作者：
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影响因子：
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影响因子：
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通讯作者：
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