在瑞典区域多中心研究中,患者报告的抗发作药物副作用的发生率和性质
Johan Zelano1, Olha Nika1, Fredrik Asztely2
1Department of clinical neuroscience, Institute of neuroscience and physiology, Sahlgrenska Academy, Gothenburg University, Blå stråket 7, 3v, Gothenburg 41345, Sweden; Department of Neurology, Sahlgrenska University Hospital, Gothenburg, Sweden; Wallenberg Center of Molecular and Translational Medicine, Gothenburg University, Sweden.
抗药物的副作用在患者中很常见,影响40%的患者. 年龄较小和多疗法增加风险,但预测副作用仍然具有挑战性,需要对个体脆弱性的进一步研究.
科学领域:
- 神经学 神经学
- 临床药房 临床药房
背景情况:
- 对抗药物 (AED) 的不良药物反应是管理中的一个重大挑战.
- 了解AED副作用的患病率和风险因素对于优化患者护理至关重要.
研究的目的:
- 为了确定抗药物 (AED) 副作用在大量成年患者中的患病率.
- 为了确定与经历AED副作用相关的风险因素.
- 描述不同AED治疗方案中报告的副作用类型.
主要方法:
- 在一项区域观察性研究中,对406名成年参与者的调查数据和临床信息进行了横截面分析.
- 在2020年12月至2023年3月期间收集的数据.
- 专注于使用第二代或更新的AED的患者,其中一半至少一年没有发作.
主要成果:
- 40%的患者报告经历了AED的副作用.
- 报告副作用的患者比较年轻,更有可能最近有发作,更频繁地接受多疗法 (多种AED).
- 多疗法和年轻的年龄被确定为显著的危险因素,尽管具有较低的解释力. 疲劳和认知症状是最常见的副作用.
结论:
- 在治疗中,AED的副作用仍然很普遍.
- 建议避免不必要的多药.
- 预测个体对副作用的敏感性是很困难的,这凸显了研究潜在的脆弱性因素的需要.
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