一项试点研究描述了DOAC水平的结果和与临床结果的关联
Brittni Gochnauer1, Anne Rodino2, Sarah Russell2
1Ambulatory Clinical Pharmacist, The University of Kansas Health System, Kansas City, KS, USA.
Journal of pharmacy practice
|June 17, 2024
概括
血管医学患者的直接口服抗凝剂 (DOAC) 水平与临床结果没有一致的相关性. 需要进一步的研究来确定什么时候订购DOAC水平对患者护理有益.
科学领域:
- 药理学 药理学是指药理学的学科.
- 血管医学 血管医学
- 临床化学 临床化学
背景情况:
- 直接口服抗凝剂 (DOAC) 广泛用于预防血栓事件.
- 监测DOAC水平可能很复杂,它的临床效用仍在研究中.
研究的目的:
- 评估DOAC级别的排序和解释实践.
- 评估在血管医学环境中DOAC水平和临床结果之间的关联.
主要方法:
- 一项追溯观察性研究,涉及43名接受DOAC治疗的患者,其DOAC水平有序.
- 分析与血栓事件,出血和治疗计划变化相关的DOAC水平.
主要成果:
- 大多数接受阿皮克萨班治疗的患者的水平在范围内,而更多的里瓦罗克萨班患者的水平在范围之外.
- 9名患者的DOAC水平促使治疗计划发生变化.
- 血栓形成和出血等临床结果与DOAC水平有着不同的相关性.
结论:
- DOAC水平的结果与预期的临床结果没有一致的相关性.
- 需要进一步的研究来确定特定的临床场景,其中DOAC水平监测是有益的.
相关概念视频
Anticoagulant Drugs: Vitamin K Antagonists and Direct Oral Anticoagulants
1.2K
Oral anticoagulants are vital tools in preventing and treating blood clotting disorders. This diverse class of medications can be categorized as vitamin K antagonists, exemplified by warfarin, and direct thrombin inhibitors (DTIs), such as dabigatran, as well as factor Xa inhibitors, including rivaroxaban.
Warfarin, a prominent vitamin K antagonist family member, exerts its effect by inhibiting the enzyme VKORC1 (vitamin K epoxide reductase complex 1). By hindering this enzyme, warfarin...
Warfarin, a prominent vitamin K antagonist family member, exerts its effect by inhibiting the enzyme VKORC1 (vitamin K epoxide reductase complex 1). By hindering this enzyme, warfarin...
1.2K
Clinical Trials: Overview
2.9K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
2.9K
Clinical Trials
6.7K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
6.7K
Anticoagulant Drugs: Low-Molecular-Weight Heparins
675
Hemostasis is a crucial process that prevents excessive blood loss from damaged blood vessels. It involves various mechanisms such as vasoconstriction, platelet adhesion and activation, and fibrin formation. The importance of each mechanism depends on the type of vessel injury. In contrast, thrombosis is the abnormal formation of a blood clot within the blood vessels, leading to potential complications if the clot obstructs blood flow. Thrombosis can be caused by increased coagulability of the...
675
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
125
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
125


