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在术后神经外科手术患者中对科米辛的群体药动力学模型的外部验证
Shifeng Wei1,2, Jingcheng Chen1,2, Zhigang Zhao3,4
1Department of Pharmacy, Fengtai District, Beijing Tiantan Hospital, Capital Medical University, 119 Nansihuan West Road, Beijing, 100070, People's Republic of China.
发表的万科米辛人群药动力学 (PPK) 模型显示神经外科患者的预测性表现有所不同. 将模型预测与治疗药物监测相结合,有助于优化万科米辛剂量.
科学领域:
- 药理动力学 药理动力学
- 药理学 药理学是指药理学的学科.
- 神经外科 神经外科
背景情况:
- 在神经外科手术患者的头内感染中,万科米辛至关重要.
- 它具有狭窄的治疗窗口和显著的药理动力学可变性.
- 现有的种群药理动力学 (PPK) 模型需要在该种群中进行外部验证.
研究的目的:
- 通过外部评估已发表的万科米辛PPK模型的预测性能.
- 评估这些模型在成人术后神经外科患者使用一个独立的数据集.
主要方法:
- 在神经外科患者中系统地搜索文献,寻找万科米辛PPK模型.
- 使用基于预测和基于模拟的诊断进行评估.
- 对贝叶斯预测进行评估,以改善模型性能.
主要成果:
- 八个PPK模型被评估,使用来自493名患者的763个万科米辛度.
- 这张张等人. 和沈等人. 和沈等人. 模型显示出最好的预测性能.
- 没有一个模型完美地描述了数据;贝叶斯预测改进了预测.
结论:
- 发表的万科米辛PPK模型在神经外科患者的预测准确度上表现出相当大的变化.
- 这些模型的初始剂量建议具有挑战性.
- 建议将基于模型的预测和治疗药物监测结合起来,以优化万科米辛剂量.
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