两个数据库的一致性分析,以寻找瘤血液病患者的潜在药物相互作用
Pryscila Rodrigues Moreira1, Leonardo Teodoro de Farias1, Amanda Ribeiro Feitosa2
1Postgraduate Program in Healthcare and Assessment, School of Pharmacy, Federal University of Goiás, Goiânia, GO, Brazil.
药物相互作用数据库显示血液病患者的一致性较差,影响患者的安全. 在严重程度,管理和文档方面存在变化,需要仔细的临床审查.
科学领域:
- 药理学 药理学是指药理学的学科.
- 临床药房 临床药房
- 瘤血液学 瘤血液学
背景情况:
- 潜在的药物相互作用显著影响瘤血液学中的患者安全.
- 现有的药物相互作用数据库在一致性和分类方面表现出异质性.
- 数据库协议的变化使临床决策复杂化,特别是在重症监护机构.
研究的目的:
- 评估两个血液病患者的药物相互作用数据库之间的一致性.
- 分析相互作用存在,严重程度,机制,管理和文档方面的差异.
- 在巴西大学医院环境中评估数据库可靠性.
主要方法:
- 在巴西一所大学医院进行的截面研究.
- 使用Micromedex®和UpToDate®进行潜在的药物相互作用研究.
- 分析数据使用频率,科恩卡帕和弗莱斯卡帕进行一致性评估.
主要成果:
- 对于潜在的药物相互作用的存在,发现缺乏一致性 (k = -0.115).
- 对相互作用机制 (k = 0.805) 观察到强烈的一致性.
- 在管理方面发现了公平一致 (k = 0.22),在"剂量调整+监测"和"监测"类别中存在显著一致.
结论:
- 在跨数据库的药物相互作用研究中存在显著的变化.
- 发现了严重程度分类,管理和文档方面的差异.
- 在依赖瘤血液病患者的药物相互作用数据库时,临床判断至关重要.
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