Barasch Andrei, Safford Monika M, McNeal Sandre F, Robinson Michelle, Grant Vivian S, Gilbert Gregg H
Department of General Dental Sciences, University of Alabama at Birmingham School of Dentistry, Birmingham, Alabama, USA.
Spec Care Dentist. 2011 Mar-Apr;31(2):53-7. doi: 10.1111/j.1754-4505.2011.00181.x.
We investigated disparities in the prescription of analgesics following dental procedures that were expected to cause acute postoperative pain. Patients over the age of 19 years who had been treated by surgical and/or endodontic dental procedures were included in this study. We reviewed 900 consecutive charts and abstracted data on procedures, patients, and providers. We used chi-square and logistic regression models for analyses. There were 485 White subjects, 357 African American subjects included in this review; 81% of the African American and 78% of White patients received a postoperative narcotic prescription (p = .56). In multivariate regression models, patients over age 45 (p = .003), those with insurance that covered medication and those with preexisting pain (p = .004) were more likely to receive narcotic analgesics. Students prescribed more narcotics than residents (p = .001). No differences were found by race in prescribing analgesics.
我们调查了预计会导致术后急性疼痛的牙科手术后镇痛药处方的差异。本研究纳入了接受过外科和/或牙髓科牙科手术治疗的19岁以上患者。我们回顾了900份连续的病历，并提取了有关手术、患者和医疗服务提供者的数据。我们使用卡方检验和逻辑回归模型进行分析。本次回顾纳入了485名白人受试者、357名非裔美国受试者；81%的非裔美国患者和78%的白人患者术后接受了麻醉处方（p = 0.56）。在多变量回归模型中，45岁以上的患者（p = 0.003）、有药物保险的患者以及有既往疼痛的患者（p = 0.004）更有可能接受麻醉性镇痛药。学生开具的麻醉药比住院医生多（p = 0.001）。在镇痛药处方方面未发现种族差异。
