药物使用模式和PCI后患者的潜在药物相互作用:伊朗的一项研究
Reza Golchin Vafa1, Hossein Molavi Vardanjani2, Javad Kojuri3
1MD-MPH Program, School of medicine, Shiraz University of Medical sciences, Shiraz, Iran; Professor Kojuri Cardiology Clinic, Iran.
Vascular pharmacology
|November 24, 2024
概括
皮肤穿透后冠状动脉干预 (PCI) 患者经常经历药物相互作用和多药. 这项研究强调了这些问题的高患病率,强调了改善心血管保健中药物安全策略的必要性.
科学领域:
- 心脏病学 心脏病学
- 临床药房 临床药房
- 药物监督 药物监督 药物监督
背景情况:
- 复杂的药物治疗方案是常见的后皮肤冠状动脉干预 (PCI) 患者.
- 这些疗法可能会导致潜在的药物相互作用 (pDDI) 和多药性,造成临床挑战.
研究的目的:
- 评估PCI后患者的药物使用模式.
- 为了确定pDDI和多药在伊朗什拉兹的这一群体中的流行率和相关值.
主要方法:
- 在伊朗的希拉兹,对9019名PCI后患者进行了横截面研究.
- 使用解剖治疗化学 (ATC) 系统分析的药物数据.
- 通过Lexicomp数据库识别的pDDI;严重程度分类.
- 多变量建模评估了与显著的pDDI和多药性相关的因素.
主要成果:
- 高度使用他类药物 (91.6%) 和抗血小板药物 (94.5%).
- 82.8%的患者至少有一次pDDI,而80.4%的患者经历了显著的相互作用.
- 多药性影响了73.6%的患者,增加了相互作用风险.
- 多药学,男性性别,糖尿病和心力衰竭预测了pDDI.
结论:
- 在PCI后的患者中,pDDI和多药物的显著流行.
- 确定了临床指南和药物相互作用数据库之间的差距.
- 建议更新互动数据库,加强药物安全合作.
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