在老年瘤患者中潜在的药物相互作用:沙特阿拉伯的一项回顾性研究
Munirah A Alkathiri1, Reem F Bamogaddam2, Hanaa Ali Alhabshi3
1Pharmaceutical Care Department, King Abdulaziz Medical City, Jeddah, Saudi Arabia.
BMC geriatrics
|May 1, 2025
概括
老年瘤学患者经常经历药物相互作用 (DDI),特别是女性和服用多种药物的患者. 常规的DDI查对于这一群体来说至关重要,以预防不良事件.
科学领域:
- 老年瘤学 老年瘤学
- 药理学 药理学是指药理学的学科.
- 药品安全 药品安全
背景情况:
- 药物相互作用 (DDI) 是癌症患者药物不良反应的主要原因.
- 在老年瘤患者中确定DDI对于改善患者的治疗结果至关重要.
研究的目的:
- 确定老年瘤患者潜在的DDI的患病率,严重程度和预测因素.
- 为了告知临床实践和提高患者安全在这个脆弱的人口.
主要方法:
- 一项涉及247名患有固体瘤的老年患者 (≥65岁) 的回顾性横截面研究.
- 使用 Lexi-Interact 对 DDI 的药物查,然后进行单变量和多变量逻辑回归分析.
- 从2018年1月到2022年12月在两个高等医疗中心收集的数据.
主要成果:
- 观察到DDI的高患病率,79.4%的患者至少经历过一次相互作用.
- 每名患者的平均药物数量为6.9,每名患者的平均DDI数量为5.6.
- 女性患者 (AOR=37.4) 和服用更多药物的患者 (AOR=4.07) 的DDI风险明显更高.
结论:
- 老年瘤学患者的DDI发病率很高,主要是中度严重的.
- 在这个人群中,女性性别和多种药物是DDI的重要危险因素.
- 定期对潜在的DDI进行查,并考虑已识别的风险因素,对于管理老年瘤患者至关重要.
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