肥胖/重症患者的外部验证 临床肥胖患者的临床肥胖患者中的万科米辛人群药理学模型
Abdullah Alsultan1, Shereen A Dasuqi2, Abdullah Almohaizeie3
1Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia.
在重症,肥胖患者中优化万科米辛剂量至关重要. 针对重症患者开发的模型通常表现得比该群体中肥胖患者的模型更好.
科学领域:
- 药理学 药理学是指药理学的学科.
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
背景情况:
- 肥胖和严重疾病可以改变抗微生物药理学,使药物剂量复杂化,并可能增加感染风险和死亡率.
- 准确的万科米辛剂量对于治疗重症和肥胖患者的感染至关重要,但标准模型可能不适合.
研究的目的:
- 评估危急病重症肥胖患者中现有的万科米辛人群药动力学模型的预测性能.
- 确定最准确的模型,以指导在这个特定的患者群体中使用万科米辛治疗.
主要方法:
- 一项多中心的回顾性研究包括138名重症,肥胖的成年患者 (BMI ≥30 kg/m2).
- 通过PubMed确定了针对重症患者或肥胖患者的已发表的万科米辛种群药动力学模型.
- 选择模型的外部验证使用Monolix软件进行.
主要成果:
- 分析了四种针对肥胖患者的模型和五种针对重症患者的模型.
- 针对重症患者开发的模型与肥胖患者的模型相比,显示出更好的预测性能.
- 戈蒂和罗伯茨模型被确定为研究队列中最准确的模型,患者的特征与研究人群相似.
结论:
- 针对重症患者开发的万科米辛群体药动力学模型对于重症患者,肥胖个体更可靠.
- 在重症患者,肥胖患者中,准确的万科米辛剂量需要考虑不仅仅是肥胖的因素,如年龄和肌素清除.
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