通过使用共同数据模型,调查因提而导致的肝脏不良事件
SooJeong Ko1,2, Se-Hyun Chang3, Yeon Woong Chung1,4
1Department of Medical Informatics, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Pharmacoepidemiology and drug safety
|June 27, 2023
概括
奎蒂阿平的使用与肝损伤风险增加有关. 医疗保健提供者应监测服用这种药物的患者的肝功能,因为潜在的肝脏不良事件.
科学领域:
- 药物监督 药物监督 药物监督
- 肝病学 肝病学是一种肝病学.
- 临床信息学 临床信息学
背景情况:
- 奎蒂亚平用于治疗精神分裂症,双相情感障碍和严重抑郁症.
- 奎蒂亚平的使用与潜在的肝脏不良事件有关,从轻度到重度,很少致命的肝损伤.
研究的目的:
- 为了调查与提使用相关的肝毒性.
- 使用观察医学结果伙伴关系共同数据模型 (CDM) 分析电子健康记录数据.
主要方法:
- 使用嵌套病例控制方法进行回顾性观察研究.
- 分析了来自五家医院的电子健康记录数据 (2009年1月 - 2020年5月).
- 检查奎蒂亚平的使用情况,不良事件和肝功能障碍.
主要成果:
- 在50,766名患者中,5.05%的患者经历了非严重的肝脏不良反应,1.64%的患者经历了严重反应.
- 肝脏不良事件的调整后几率比为2.35 (95% CI:2.03-2.72).
- 严重的肝脏不良事件的调整后几率比为1.76 (95% CI:1.16-2.66).
结论:
- 奎蒂阿平的使用需要谨慎和定期监测肝功能.
- 药物可以导致轻度或重度的肝脏不良事件和并发症.
- 罕见的致命肝损伤例强调了警患者管理的重要性.
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