食管闭锁和气管食管瘘修补术后新生儿静脉注射对乙酰氨基酚的相关成本和疗效。

IF 2.3 4区 医学 Q2 PEDIATRICS Pediatrics and Neonatology Pub Date : 2024-07-06 DOI:10.1016/j.pedneo.2024.02.010
Michael A Phillipi, Ashley Y Song, Leah Yieh, Cynthia L Gong
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引用次数: 0

摘要

背景:在过去的十年中,对乙酰氨基酚(APAP)静脉注射剂型作为新生儿重症监护病房中安全有效的一线镇痛药广受欢迎,尤其适用于口服药物禁忌的围手术期。该研究的主要目的是研究新生儿食管闭锁(EA)和气管食管瘘(TEF)修复术后,静脉注射 APAP 与阿片类药物联合使用与单独使用阿片类药物作为镇痛策略的相关结果和成本:利用儿科健康信息系统的数据,研究了2015年10月至2018年9月期间1137例EA/TEF修复住院病例。研究纳入了仅使用阿片类药物或静脉注射 APAP 与阿片类药物联合止痛的新生儿:与仅使用阿片类药物的新生儿相比,接受静脉注射 APAP 的新生儿的中位住院时间更长,但死亡率显著降低,平均每日费用减少,阿片类药物的使用也有所减少。两组在药费和总费用方面没有明显差异:我们的研究结果表明,在 EA/TEF 修复术中同时使用静脉注射 APAP 和阿片类药物可降低死亡率和阿片类药物的使用量,并延长住院时间。
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Costs and outcomes associated with the administration of Intravenous Acetaminophen in neonates after esophageal atresia and tracheoesophageal fistula repair.

Background: Over the last decade, the intravenous (IV) formulation of acetaminophen (APAP) has gained popularity as a safe and effective first-line analgesic in the neonatal intensive care unit and it is especially useful in peri-operative settings where oral agents are contraindicated. The primary objective was to examine the outcomes and costs associated with the use of IV APAP in combination with opioids versus opioids alone as a pain management strategy after neonatal esophageal atresia (EA) and tracheoesophageal fistula (TEF) repair.

Methods: Data from the Pediatric Health Information System was used to examine 1137 hospitalizations for EA/TEF repair from October 2015 to September 2018. Neonates administered opioids only, or IV APAP in combination with opioids as pain management, were included.

Results: Neonates receiving IV APAP experienced a longer median LOS, but a significantly lower mortality rate, a decreased mean daily cost, and reduced opioid use compared to neonates given only opioids. The two groups had no significant differences in pharmacy and total costs.

Conclusion: Our findings suggest that the use of IV APAP alongside opioids in EA/TEF repair is associated with reduced mortality and opioid use, as well as longer LOS.

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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
170
审稿时长
48 days
期刊介绍: Pediatrics and Neonatology is the official peer-reviewed publication of the Taiwan Pediatric Association and The Society of Neonatology ROC, and is indexed in EMBASE and SCOPUS. Articles on clinical and laboratory research in pediatrics and related fields are eligible for consideration.
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