在一般医院中确定药物不良事件的危险因素
Leticia Mara Pisetta1,2, Fernanda Zanardo Tonin2, Fernando Kenji Akiyoshi2
1Department of Pharmacology, Universidade Federal de Santa Catarina (Federal University of Santa Catarina), Campus Trindade, Florianópolis, SC 88049-900, Brazil.
概括
药物不良事件 (ADEs) 是一个重大的健康问题. 这项研究发现,已知的药物过敏,住院,多种药物和内科护理预测了ADE的发生,为预防策略提供了信息.
科学领域:
- 药物监督 药物监督 药物监督
- 患者安全 患者安全
- 医疗保健服务研究 医疗服务研究
背景情况:
- 药物不良事件 (ADEs) 构成严重的健康风险,可能导致永久性伤害或死亡.
- 了解ADE的频率,原因和患者概况对于预防至关重要.
- 全球触发工具 (GTT/IHI) 是一种公认的识别不良事件 (AE) 的方法.
研究的目的:
- 为了确定患有ADE的患者的频率和特征.
- 确定与住院患者的ADE发生相关的预测变量.
- 评估GTT/IHI在评估药物相关危害方面的有效性.
主要方法:
- 一项横截面研究,涉及120名患者病历的回顾性分析.
- 利用了GTT/IHI的药物模块与适应的触发器.
- 采用多变量逻辑回归来确定ADE的预测变量.
主要成果:
- 确定了43个不良事件 (36%的频率),其中12%导致住院.
- 改变功能和神经系统药物分别是最常见的ADE表现和药物组.
- ADE的预测因素包括已知的药物过敏,临床住院,药物数量和内科护理.
结论:
- 在住院患者中,很大一部分患者经历了ADEs,其发生率高于类似研究中的情况.
- GTT/IHI是有效的评估与药物相关的危害,但触发适应是必要的.
- 识别的预测变量为开发针对性ADE预防策略提供了宝贵的见解.
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