对汽车驾驶员对二二胺受体激动剂的性能评估进行了范围审查
Andrea L Murphy1,2,3, Korolos Sawires1, Sophie M Peltekian4
1College of Pharmacy, Dalhousie University, Halifax, NS, Canada.
二二胺受体激动剂 (BZRAs) 影响驾驶性能,研究中的评估方法各不相同. 关于BZRA和驾驶安全的研究需要更好地用于临床应用.
科学领域:
- 药理学和毒理学 药理学和毒理学
- 神经科学是一个神经科学.
- 交通安全研究 交通安全研究
背景情况:
- 二类药物和Z药物 (BZRA) 是用于治疗焦虑和失眠的药物,但具有有效性限制和安全性问题.
- BZRA与交通事故风险的增加有关,需要对机动车辆运行安全进行指导.
- 目前关于BZRA患者驾驶安全的建议不一致,强调需要更明确的证据.
研究的目的:
- 进行范围审查,以识别,绘制和描述使用BZRAs的个人驾驶绩效评估的证据.
- 了解与BZRA对驾驶能力的影响相关的方法和发现.
主要方法:
- 在Embase,MEDLINE和PsycINFO数据库中搜索相关研究.
- 使用Covidence进行研究查和REDCap进行数据提取,每个阶段都有两个独立审查员.
- 结果以表格和总结的方式进行叙述.
主要成果:
- 183项研究评估了20个独特的BZRA的驾驶性能,采用各种实验和观察方法.
- 实验研究经常使用横向位置的标准偏差 (SDLP) 和模拟或现实世界的驾驶.
- 观察性研究通常依赖于生物检测 (尿液,血液) 和处方记录来衡量损伤.
结论:
- 研究BZRA对驾驶的影响使用异质的协议,措施和设置,使解释变得复杂.
- 研究的BZRAs的代表性与处方流行率不一致,可能会限制临床适用性.
- 改进的知识翻译对于使研究成果对医疗保健提供者和患者可访问和可操作至关重要.
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