ObjectiveTo evaluate patient perspectives regarding utilization of intravenous (IV) therapy for inflammatory arthritis (IA).MethodsThis was a single-center, noninterventional, patient questionnaire-based study of adult IA patients currently receiving IV biologics. At a single visit, patients completed the questionnaire comprising 30 questions centered on their experience receiving an intravenously administered therapy to treat their IA. The questionnaire included questions on patient demographics, disease characteristics, and previous biologic treatment for IA (subcutaneous [SC] and IV). Patients rated their level of agreement with statements regarding satisfaction with current IV biologic therapy and potential advantages and disadvantages of IV biologic therapy using a 5-point Likert scale (1= strongly disagree, 5= strongly agree).ResultsOne hundred patients were enrolled and completed the survey; 66% were female and the mean age was 58 years. Before IV treatment, 97% of patients received information regarding therapy options. Ninety patients ranked their satisfaction with current IV therapy as 4 or 5. The proportion of patients with an “extremely favorable” perception of IV therapy increased from 33% to 71% following initiation of their current medication. Thirty-one patients had previously received SC therapies to treat their IA.ConclusionThese results demonstrated an overall favorable perception of IV therapy among this patient population. Patients previously treated with SC therapy also had a positive shift in the perception of IV therapy after initiating IV therapy. Patients’ perception and preference for treatment options should be highly considered by the treating physician during or as part of a shared decision-making process.
This study analyzed the total opioid consumption of medical ICU patients sedated on either dexmedetomidine or propofol to assess for a difference in total oral morphine milligram equivalents consumed while on continuous sedation.
METHODS:This study was a prospective, cohort study that analyzed patients who received continuous sedation, via propofol or dexmedetomidine, while mechanically ventilated. Patients were cared for at either Charleston Area Medical Center Memorial Division or General Division between August 1 st , 2020 and October 31 st , 2020. Patient's past medical history and admitting diagnosis were documented from the chart. Patient's continuous sedation medication and rate of infusion were documented from the chart and from the continuous infusion IV pumps on the floor.
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