首页> 外文期刊>The International journal of pharmacy practice >Demographic risk factors affecting emergency room visits caused by benzodiazepine poisoning in Kansas City, Missouri, from 2001 to 2007.
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Demographic risk factors affecting emergency room visits caused by benzodiazepine poisoning in Kansas City, Missouri, from 2001 to 2007.

机译:2001年至2007年,影响密苏里州堪萨斯城的苯二氮卓中毒导致的急诊就诊的人口统计学危险因素。

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OBJECTIVE: The study objective was to identify demographic risk factors associated with emergency room visits caused by benzodiazepine poisoning. METHODS: A retrospective study was conducted utilizing Missouri Hospital Discharge Data for Kansas City, Missouri, USA, for 2001-2007. The data included patients' demographics such as racial group, age, sex, health insurance status and annual income. Emergency room visits due to benzodiazepine poisoning were identified by ICD-9 code 969.4. The frequencies of patient visits were calculated according to categories of each demographic variable. Chi-square tests were used to assess the difference of emergency room visits among categories of each demographic variable. A multiple logistic regression analysis was performed, where the outcome variable was emergency room visits due to benzodiazepine poisoning (yeso), and the independent variables were the demographic variables. KEY FINDINGS: Of 1317566 emergency room visits over the 7-year period, 562 were due to benzodiazepine poisoning. Seventy-seven per cent of these visits were made by patients who were white, of whom 53% were 30-49years old, 56% were female, 74% had health insurance and 44% lived in zip codes with median family incomes of Dollars 40000-59999. Chi-square tests were significant for racial group, age and annual income (P<0.01). In the logistic regression white patients were 73% more likely than black patients to have emergency room visits caused by benzodiazepine poisoning (P<0.01), with an odds ratio (95% confidence interval) of 5.63 (4.33-7.30). Compared with those aged 0-19 years, the odds ratio for patients aged 30-39 to have such visits was 2.73 (2.09-3.57), and the odds ratio for patients aged 40-49 was 2.84 (2.17-3.71). CONCLUSIONS: White patients and patients aged 30-49years were at higher risk for emergency room visits due to benzodiazepine poisoning. Health interventions such as medication review by pharmacists may reduce the risk of benzodiazepine poisoning for these patients.
机译:目的:研究目的是确定与苯二氮卓类中毒引起的急诊就诊有关的人口统计学危险因素。方法:使用美国密苏里州堪萨斯市2001-2007年的密苏里州医院出院数据进行了回顾性研究。数据包括患者的人口统计资料,例如种族,年龄,性别,健康保险状况和年收入。 ICD-9代码969.4标识了因苯二氮卓中毒导致的急诊室就诊。根据每个人口统计学变量的类别计算患者就诊的频率。卡方检验用于评估每个人口统计学变量类别之间急诊就诊的差异。进行了多元逻辑回归分析,其中结果变量是由于苯二氮卓类中毒引起的急诊就诊(是/否),而自变量是人口统计学变量。主要发现:在7年的1317566次急诊中,有562次是由于苯二氮卓中毒引起的。这些访问中有77%是白人患者,其中53%为30-49岁,女性为56%,有健康保险的为74%,有44%居住在邮政编码为邮政编码的家庭中位收入为40000美元-59999。卡方检验对种族,年龄和年收入有显着影响(P <0.01)。在逻辑回归中,白人患者因苯二氮卓类中毒而进行急诊就诊的可能性比黑人患者高73%(P <0.01),优势比(95%置信区间)为5.63(4.33-7.30)。与0-19岁年龄段的患者相比,30-39岁年龄段进行此类就诊的几率为2.73(2.09-3.57),40-49岁年龄段患者的几率为2.84(2.17-3.71)。结论:白人患者和30-49岁的患者由于苯二氮卓中毒而有更高的急诊就诊风险。健康干预措施,例如由药剂师进行的药物审查,可能会降低这些患者苯二氮卓中毒的风险。

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