Trends in opioid prescribing by race/ethnicity for patients seeking care in US emergency departments
Trends in opioid prescribing by race/ethnicity for patients seeking care in US emergency departments
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DOI：
10.1001/jama.2007.64
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发表时间：
2008-01-02
影响因子：
120.7
通讯作者：
Gonzales, Ralph
中科院分区：
文献类型：
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作者：
Pletcher, Mark J.;Kertesz, Stefan G.;Gonzales, Ralph
背景 1990 年代末实施的国家质量改进举措之后，美国阿片类药物处方大幅增加，但尚不清楚急诊科用于治疗疼痛的阿片类药物处方是否有所增加，以及按种族/民族划分的阿片类药物处方差异是否有所减少。 目的 确定急诊科中阿片类药物处方是否有所增加，非西班牙裔白人患者是否比其他白人患者更有可能接受阿片类药物种族/族裔群体，以及自 2000 年以来按种族/族裔开出的处方差异是否有所减少。设计和设置 使用 13 年（1993-2005）全国医院门诊医疗调查的就诊原因和医生诊断代码来确定美国急诊科与疼痛相关的就诊。主要结果指标阿片类镇痛药的处方。结果与疼痛相关的就诊占 156729 例374891 次 (42%) 急诊科就诊。用于疼痛相关就诊的阿片类药物处方从 1993 年的 23%（95% 置信区间 [Cl]，21%-24%）增加到 2005 年的 37%（95% CI，34%-39%）（P
Context National quality improvement initiatives implemented in the late 1990s were followed by substantial increases in opioid prescribing in the United States, but it is unknown whether opioid prescribing for treatment of pain in the emergency department has increased and whether differences in opioid prescribing by race/ethnicity have decreased.Objectives To determine Whether opioid prescribing in emergency departments has increased, whether non-Hispanic white patients are more likely to receive an opioid than other racial/ethnic groups, and whether differential prescribing by race/ethnicity has diminished since 2000.Design and Setting Pain-related visits to US emergency departments were identified using reason-for-visit and physician diagnosis codes from 13 years (1993-2005) of the National Hospital Ambulatory Medical Care Survey.Main Outcome Measure Prescription of an opioid analgesic.Results Pain-related visits accounted for 156729 of 374891 (42%) emergency department visits. Opioid prescribing for pain- related visits increased from 23 % (95 % confidence interval [Cl], 21%-24%) in 1993 to 37% (95% Cl, 34%-39%) in 2005 (P