多药性,药物相互作用和系统性硬化症患者的药物不良反应:一个横截面风险因素研究
Sara Boukhlal1, Laurent Chouchana2, Malika Saadi3
1Service de Médecine Interne, Centre de Référence Maladies Systémiques Autoimmunes et Autoinflammatoires Rares d'Ile de France, de l'Est et de l'Ouest, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris (AP-HP); APHP-CUP, Hôpital Cochin, Université Paris Cité, F-75014, Paris.
Seminars in arthritis and rheumatism
|May 23, 2024
概括
系统性硬化症患者经常经历药物相互作用 (DDI) 和药物不良反应 (ADR) 由于多药. 处方五种或更多的药物显著增加了这些有害事件的风险.
科学领域:
- 类风湿病学 类风湿病学
- 临床药理学 临床药理学
背景情况:
- 多药性,药物相互作用 (DDI) 和药物不良反应 (ADR) 是系统性硬化症 (SSc) 管理中的重要问题.
- 这些问题在SSc患者群体中仍未得到充分研究.
研究的目的:
- 为了确定DDI和ADRs在SSc患者的真实世界队列中的患病率.
- 在SSc.中识别与DDI和ADR相关的因素.
主要方法:
- 从2020年1月至2022年4月期间接受治疗的108名SSc患者的药物处方的回顾性分析.
- 使用处方分析软件识别的DDI;在一年的随访期间裁决的ADR.
- 多变量分析以确定DDI和ADR的风险因素.
主要成果:
- 66.7%的SSc患者在纳入时经历了DDI,平均每患者服用6种药物.
- 与没有DDI或ADR的患者相比,DDI或ADR的患者被处方的药物明显更多.
- 处方药的数量独立地与DDI和ADR的风险增加有关.
结论:
- SSc患者面临多药,DDI和ADR的高风险.
- 在严重病例和处方5种或更多药物时,风险特别高.
- 这凸显了在SSc.中需要谨慎的药物管理的需要.
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