药物相关的玻璃眼:基于食品和药物管理局不良事件报告系统数据库的现实研究
Shi-Nan Wu1, Xiao-Dong Chen1, Dan Yan1
1Xiamen University affiliated Xiamen Eye Center, Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Fujian Engineering and Research Center of Eye Regenerative Medicine, Eye Institute of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
Clinical & experimental ophthalmology
|October 26, 2024
概括
这项研究确定了46种与眼相关的高风险药物,其中抗胆固醇药物显示出最短的发病时间. 意识和预防是减少药物相关青光眼发病率的关键.
科学领域:
- 眼科医生 眼科 眼科
- 药物监督 药物监督 药物监督
- 现实世界的证据.
背景情况:
- 与药物相关的玻璃眼是一个重大的公共卫生挑战.
- 了解药物诱导的青光眼的流行病学特征对于预防至关重要.
研究的目的:
- 评估与药物相关的玻璃眼风险.
- 为了确定药物诱导的青光眼的流行病学模式.
- 为了分析与药物相关的玻璃眼的现实数据.
主要方法:
- 使用食品和药物管理局不良事件报告系统 (FAERS) 数据库 (2004-2023年).
- 采用了不成比例分析和贝叶斯信心传播神经网络算法.
- 分类药物,评估风险,并比较药物诱导时间.
主要成果:
- 确定了805种与眼有关的药物,其中46种具有显著的风险.
- 高风险药物包括上腺体药物,抗高血压药物,胰岛素,抗胆固醇药物,VEGF抑制剂和精神药物.
- 抗胆固醇药物表现出最短的药物诱导时间;女性和老年人主要受到影响.
结论:
- 预防与药物相关的玻璃眼比治疗更有效.
- 识别药物风险和发病时间可以最大限度地减少青光眼的发生.
- 临床警和患者教育对于降低风险至关重要.
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