在儿科患者中使用查工具发现的潜在不适当处方的流行:系统性审查
Shamala Balan1, Norkasihan Ibrahim2,3
1Pharmacy Department, Hospital Tengku Ampuan Rahimah, Klang, Malaysia shamala.balan@gmail.com.
European journal of hospital pharmacy : science and practice
|December 4, 2024
概括
潜在不合适的处方在儿童中很常见,患病率差异很大. 开发针对年龄和条件的具体工具对于更好地评估和理解经济影响至关重要.
科学领域:
- 儿科药理学 儿科药理学
- 药物安全 药物安全
- 医疗保健服务研究 医疗服务研究
背景情况:
- 不恰当的处方导致了与药物有关的问题.
- 在儿科患者中不适当的处方的患病率尚未得到充分了解.
研究的目的:
- 系统地审查儿童患者可能不适当的处方的流行情况.
- 识别和评估用于检测儿童不适当处方的工具.
- 确定这些识别工具的优点和局限性.
主要方法:
- 在PubMed,CINAHL,Cochrane和谷歌学者数据库中的系统文献搜索.
- 包括在2023年5月之前发表的英语研究.
- 对符合条件的文章进行主题分析,评估方法质量.
主要成果:
- 包括12项高质量的研究.
- 可能不合适的药物 (PIM) 的流行率在0.04%至69%之间,潜在的处方遗漏 (PPO) 从1.5%至55.9%.
- 年龄是关键预测因素,PIM在2-6岁儿童中更常见,PPO在6-12岁儿童中更常见. 最常用的工具是POPI工具.
结论:
- 潜在的不适当的处方在儿科患者中非常普遍.
- 现有的工具显示报告的患病率存在很大差异,实际实施有限.
- 未来的研究应该集中在开发和实施年龄,疾病或国家特定的工具,以改善评估和经济影响评估.
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