TY - T1的事件阿片类药物使用和乱发广告e respiratory outcomes among older adults with COPD JF - European Respiratory Journal JO - Eur Respir J SP - 683 LP - 693 DO - 10.1183/13993003.01967-2015 VL - 48 IS - 3 AU - Vozoris, Nicholas T. AU - Wang, Xuesong AU - Fischer, Hadas D. AU - Bell, Chaim M. AU - O'Donnell, Denis E. AU - Austin, Peter C. AU - Stephenson, Anne L. AU - Gill, Sudeep S. AU - Rochon, Paula A. Y1 - 2016/09/01 UR - //www.qdcxjkg.com/content/48/3/683.abstract N2 - We evaluated risk of adverse respiratory outcomes associated with incident opioid use among older adults with chronic obstructive pulmonary diseases (COPD).This was a retrospective population-based cohort study using a validated algorithm applied to health administrative data to identify adults aged 66 years and older with COPD. Inverse probability of treatment weighting using the propensity score was used to estimate hazard ratios comparing adverse respiratory outcomes within 30 days of incident opioid use compared to controls.Incident opioid use was associated with significantly increased emergency room visits for COPD or pneumonia (HR 1.14, 95% CI 1.00–1.29; p=0.04), COPD or pneumonia-related mortality (HR 2.16, 95% CI 1.61–2.88; p<0.0001) and all-cause mortality (HR 1.76, 95% CI 1.57–1.98; p<0.0001), but significantly decreased outpatient exacerbations (HR 0.88, 95% CI 0.83–0.94; p=0.0002). Use of more potent opioid-only agents was associated with significantly increased outpatient exacerbations, emergency room visits and hospitalisations for COPD or pneumonia, and COPD or pneumonia-related and all-cause mortality.Incident opioid use, and in particular use of the generally more potent opioid-only agents, was associated with increased risk for adverse respiratory outcomes, including respiratory-related mortality, among older adults with COPD. Potential adverse respiratory outcomes should be considered when prescribing new opioids in this population.New opioid drug use is associated with increased adverse respiratory outcomes and death among older adults with COPD http://ow.ly/4Jrg300Stbc ER -