儿科手术中的药物不良反应:关于频率和风险相关因素的前性研究
C Pérez-Ingidua1,2,3, A B Rivas-Paterna1,2,3, C González-Perrino4,3
1Clinical Pharmacology Department, Hospital Clínico San Carlos, Madrid, Spain.
BMC pediatrics
|May 17, 2024
概括
药物不良反应 (ADR) 在儿科手术患者中很常见,非标签药物使用是显著的风险因素. 这项研究量化了ADR的频率,并确定了这一脆弱人群中的关键因素.
科学领域:
- 儿科手术 儿科手术
- 药物监督 药物监督 药物监督
- 临床药理学 临床药理学
背景情况:
- 儿科患者对药物不良反应 (ADR) 的敏感度很高.
- 手术环境存在许多可能导致ADRs的条件.
- 关于ADRs的数据有限,特别是在儿科外科患者群体内.
研究的目的:
- 为了确定小儿外科手术患者中ADRs的频率.
- 调查该队列中ADRs的特征.
- 识别与ADR发展相关的风险因素.
主要方法:
- 一项前性观察性研究包括311名接受手术的儿科患者 (年龄为1-16岁).
- 发病率被计算出来以评估ADR的频率.
- 几率比率 (ORs) 用于评估ADR发展的风险因素.
主要成果:
- 在80名患者 (25.7%) 中发生了103种不同的不良反应.
- 低血压 (35%),恶心 (15.5%) 和出现妄想 (15.5%) 是最常见的.
- 非标签药物使用 (OR=2.99) 是最强的风险因素,其次是处方药的数量 (OR=1.26) 和年龄 (OR=1.26).
结论:
- 药物不良反应 (ADR) 在儿科手术患者中发生的发病率很高.
- 非标签处方的药物是该人群中ADRs的关键风险因素.
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