与对比介质相关的甲状腺功能障碍:基于FDA不良事件报告系统的现实世界药监测研究

Lu Huang1,2,3, Yan Luo1,2,4, Zhen-Lin Chen3

  • 1Department of Pharmacy, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.

Heliyon
|November 13, 2023
PubMed

Insights

对比介质 (ICM) 可以导致甲状腺功能障碍,包括甲状腺功能低下和甲状腺功能过高,通常在服用后30天内. 约迪克桑醇显示最高风险,需要对高风险药物进行甲状腺功能监测.

科学领域:

  • 内分泌学 在内分泌学.
  • 放射学 放射学是一门学科.
  • 药物监督 药物监督 药物监督

背景情况:

  • 对比介质 (ICM) 广泛用于医学成像.
  • ICM的使用可能会影响甲状腺功能.
  • 了解ICM诱导的甲状腺功能障碍的特定风险对于患者的安全至关重要.

研究的目的:

  • 分析与ICM相关的甲状腺功能障碍的特征.
  • 为了确定构成甲状腺功能障碍风险较高的特定ICM药物.
  • 评估ICM相关甲状腺事件的时间关系和严重程度.

主要方法:

  • 使用了FDA不良事件报告系统 (FAERS) 数据库.
  • 使用不成比例的分析来检测甲状腺功能障碍的安全信号.
  • 对报告病例的临床特征进行了描述性分析.

主要成果:

  • 确定了83份与ICM相关的甲状腺功能障碍报告.
  • 在ICM中,甲状腺功能低下症 (ROR=2.21) 和甲状腺功能过高症 (ROR=3.49) 的报告显著增加.
  • 约迪克桑醇在甲状腺功能低下 (ROR=9.47) 和甲状腺功能增强 (ROR=5.44) 两方面都显示出最高的信号.
  • 大多数病例发生在ICM给药后的30天内.
  • 甲状腺功能障碍症 (12/26) 的严重结局比甲状腺功能障碍症 (2/35) 更频繁.

结论:

  • 不同的ICM药物携带着不同的甲状腺功能障碍风险,约迪克桑醇是一个值得关注的关注点.
  • 在ICM之后的甲状腺功能障碍通常在第一个月内表现出来.
  • 建议在服用后监测甲状腺功能,特别是在高风险的ICM药物中.
抽象的

No abstract available in PubMed .

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