怀孕中的药理流行病学:英国临床实践研究数据链接中的观察性队列研究的分析协议
Ciarrah-Jane Barry1,2, Christy Burden3, Neil Davies1,2,4
1Medical Research Council Integrative Epidemiology Unit, University of Bristol, Bristol, BS82BN, UK.
Wellcome open research
|July 13, 2023
概括
这项研究检查了孕妇在怀孕期间使用慢性疾病药物的风险和益处. 它的目的是为更安全的处方实践提供证据,改善母亲和新生儿的结果.
科学领域:
- 药理学和毒理学 药理学和毒理学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 流行病学 流行病学
背景情况:
- 许多孕妇使用药物,但对它们对母亲和新生儿的影响的证据有限.
- 未经治疗的慢性孕产妇疾病 (如糖尿病,高血压) 存在风险,但某些治疗方法可能会伤害新生儿.
- 非常需要平衡产妇健康益处与处方药的潜在新生儿风险.
研究的目的:
- 量化怀孕期间持续治疗慢性疾病对母亲的好处.
- 评估持续使用母药对新生儿的潜在不良影响.
- 为了产生指导临床决定在怀孕期间使用药物的证据.
主要方法:
- 使用英国临床实践研究数据链 (CPRD) 数据进行的观察性代际队列研究.
- 应用多变量调整回归,倾向性得分回归,仪器变量和负控分析.
- 旨在考虑药物暴露与结果关联中的混因素的统计方法.
主要成果:
- 分析母亲的药物处方及其与母亲和新生儿结局的关联.
- 估计持续药物治疗对母亲健康和新生儿安全的净影响.
- 量化风险和益处以告知临床实践.
结论:
- 生成的证据将有助于优化患有慢性疾病的孕妇的药物管理.
- 这项研究旨在减少与药物使用相关的孕产妇和新生儿不良结果.
- 结果将支持医疗保健提供者和患者的知情决策.
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