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青少年住院儿童的阿片类药物剂量偏差和剂量区分发展
Karina G Phang1, Amy E Wahlquist2, Genevieve Hayes3
1Geisinger, Department of Pediatrics, Center for Pharmacy Innovations and Outcomes, Danville, Pennsylvania.
Hospital pediatrics
|August 28, 2024
概括
20%的儿科阿片类药物剂量超出了推范围,增加了风险. 剂量划分可以简化处方,减少儿童的错误.
科学领域:
- 儿科药理学 儿科药理学
- 患者安全 患者安全
- 药物管理 药物管理
背景情况:
- 个性化,基于体重的阿片类药物剂量给儿童带来了安全问题和过程效率低下.
- 剂量划分,是一种患者安全策略,通过体重范围标准化剂量,以尽量减少剂量错误.
研究的目的:
- 评估常见静脉注射 (IV) 和口服阿片类药物的剂量偏差在住院儿童中的频率.
- 分析儿童年龄组中剂量偏差的差异.
- 评估通过剂量区分可以实现的剂量变化的潜在减少.
主要方法:
- 对3361剂阿片类药物给住院2个月至24个月的儿童进行的横截面分析.
- 剂量偏差的分类:在±5% (没有偏差),>5%以下 (负值) 和>5%以上 (正值) 的参考范围.
- 使用了描述性和双变量统计分析.
主要成果:
- 79.2%的剂量在参考范围内,6.3%的剂量低于,14.4%的剂量高于.
- 剂量偏差因年龄而异:在较年轻的儿童中,口服阿片类药物更频繁,在较年长的儿童中,静脉吗啡更频繁.
- 剂量区分可能会使一次性处方剂量减少75%并消除意外偏差.
结论:
- 在24个月以下的儿童中,大约20%的阿片类药物剂量超出了推的治疗范围.
- 剂量区分是有前途的,作为简化阿片类药物处方和提高儿科住院病人的安全性的策略.
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