在儿科重症监护病房评估非标签药物使用和药物安全性
Soojin Lee1,2, Mi Hee Yang1, Jung Sun Kim1,3
1Department of Pharmacy, Seoul National University Hospital, Seoul 03080, Korea.
概括
在儿科重症监护室 (PICU) 中,非标签药物的使用很常见,几乎所有儿童都接受了这种治疗. 这种做法与更严重的药物不良反应 (ADRs) 有关,突出了需要安全证据的需要.
科学领域:
- 儿科重症监护室的儿童重症监护室
- 药理学 药理学是指药理学的学科.
- 药品安全 药品安全
背景情况:
- 标签外药物的使用在儿科中普遍存在,这是由于缺乏已批准的指示.
- 确保患者安全和治疗疗效需要了解与未经批准的药物使用相关的风险.
研究的目的:
- 调查儿童重症监护病房 (PICU) 中非标签药物使用的发生率.
- 在接受非标签药物治疗的儿科患者中识别与药物不良反应 (ADR) 相关的危险因素.
主要方法:
- 从502名PICU患者的电子病历回顾分析 (2019年7月 - 2020年6月).
- 对6183种处方药的检查,重点关注非标签使用和相关的副作用.
- 统计分析以确定与ADR相关的因素.
主要成果:
- 96.0%的儿科患者接受了非标签药物,在67.8%的病例中出现了剂量错误.
- 副作用的重要风险因素包括心胸病房入院 (OR 3.248),更高的药物计数 (OR 1.116) 和长时间的PICU停留 (≥7天,OR 4.981).
- 在非标签药物使用中,副作用更严重 (p=0.0426).
结论:
- 非标签处方是PICU的一个重要问题,需要注意.
- 对非标签儿科药物使用的基于证据的安全数据对于监管更新和改善患者护理至关重要.
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