多药和药物治疗方案复杂性在输血依赖的血病患者:一个横截面研究研究
Geok Ying Chun1, Sharon Shi Min Ng1, Farida Islahudin1
1Faculty of Pharmacy, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, Kuala Lumpur, 50300, Malaysia.
International journal of clinical pharmacy
|March 29, 2024
概括
输血依赖的血病患者经常面临高药复杂性和药物相关问题,影响铁过载控制. 干预措施必须解决药物治疗方案的复杂性和与药物相关的问题,以更好地管理血清铁.
科学领域:
- 药理学 药理学是指药理学的学科.
- 血液学 血液学 血液学
- 临床药房 临床药房
背景情况:
- 药物负担和复杂性是慢性病患者面临的重大挑战.
- 有限的数据存在药物负担和复杂性在输血依赖的沙拉西米亚 (TDT) 群体内.
研究的目的:
- 描述TDT患者的药物复杂性和多药性.
- 调查药物复杂性,多药,药物相关问题 (DRP) 和TDT患者的铁过载控制之间的关系.
主要方法:
- 马来西亚一家三级医院的横截面观测研究.
- 药物治疗方案复杂性指数 (MRCI) 评估使用验证的工具.
- 多药性定义为慢性使用≥5种药物;使用后勤回归和ROC分析.
主要成果:
- 招募了200名成年TDT患者;最佳MRCI切线被确定为17.5.
- 观察到多种药物的高患病率 (73%) 和高MRCI (64.5%).
- DRP完全调解了MRCI和铁过载控制之间的关联.
结论:
- TDT患者表现出高度复杂的药物治疗方案和低于最佳的铁过载控制,通常与DRP相关.
- 未来在TDT中控制血清铁的干预措施应纳入MRCI和DRP的考虑.
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