在使用贝叶斯模型在肥胖患者中给定万科米辛剂量时,在曲线 (AUC) 下的两个度和一个度区域 (AUC) 估计之间的协议
Elizabeth W Covington1, Addison M Watkins2
1Department of Pharmacy Practice, Harrison College of Pharmacy, Auburn University, Auburn, AL, USA.
The Annals of pharmacotherapy
|August 5, 2023
概括
使用一种度的万科米辛贝叶斯模型显示,在肥胖患者中,与两种度对估计24小时曲线下的面积 (AUC24) 的良好一致. 然而,在较高的AUC24值时,观察到比例偏差.
科学领域:
- 药理动力学和药理动力学
- 临床药房 临床药房
- 抗生素剂量优化 抗生素剂量优化
背景情况:
- 范科米辛贝叶斯模型对于估计曲线下的24小时面积 (AUC24) 是至关重要的.
- 在肥胖患者中,一度与两度贝叶斯估计的准确性仍然不清楚.
研究的目的:
- 评估1和2度贝叶斯AUC24估计之间对肥胖患者中的万科米辛的一致性.
- 在这个特定的患者群体中确定AUC24估计中的潜在偏差.
主要方法:
- 对接受万科米的肥胖患者进行了回顾性队列研究.
- 一种度的AUC24 (隐藏于软件) 与两种度的AUC24的比较.
- 排除标准包括短暂的万科米辛持续时间或功能障碍.
主要成果:
- 在1度和2度AUC24估计之间观察到总体一致性 (平均差异为11.4mg*h/L).
- 在较高的AUC24值 (β = 0.16,P = 0.015) 检测到比例偏差.
- 在87%的患者中,AUC24的分类符合.
结论:
- 一种度的万科米辛AUC24估计表明肥胖患者的总体一致性.
- 在较高AUC24的比例偏差需要谨慎和进一步调查.
- 建议进行更大规模的研究来验证这些发现.
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