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从匿名电子病历系统中提取的药物治疗方案的药物相互作用概况

DRUG-DRUG INTERACTION PROFILES OF MEDICATION REGIMENS EXTRACTED FROM A DE-IDENTIFIED ELECTRONIC MEDICAL RECORDS SYSTEM.

作者信息

Butkiewicz Mariusz, Restrepo Nicole A, Haines Jonathan L, Crawford Dana C

机构信息

Institute for Computational Biology, Department of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, OH, US.

出版信息

AMIA Jt Summits Transl Sci Proc. 2016 Jul 20;2016:33-40. eCollection 2016.

Abstract

With age, the number of prescribed medications increases and subsequently raises the risk for adverse drug-drug interactions. These adverse effects lower quality of life and increase health care costs. Quantifying the potential burden of adverse effects before prescribing medications can be a valuable contribution to health care. This study evaluated medication lists extracted from a subset of the Vanderbilt de-identified electronic medical record system. Reported drugs were cross-referenced with the Kyoto Encyclopedia of Genes and Genomes DRUG database to identify known drug-drug interactions. On average, a medication regimen contained 6.58 medications and 2.68 drug-drug interactions. Here, we quantify the burden of potential adverse events from drug-drug interactions through drug-drug interaction profiles and include a number of alternative medications as provided by the Anatomical Therapeutic Chemical Classification System.

摘要

随着年龄增长,处方药数量增加,随后会提高药物相互作用产生不良反应的风险。这些不良反应会降低生活质量并增加医疗保健成本。在开处方前对不良反应的潜在负担进行量化,可为医疗保健做出有价值的贡献。本研究评估了从范德比尔特定识别电子病历系统的一个子集中提取的用药清单。将报告的药物与京都基因与基因组百科全书药物数据库进行交叉参考,以识别已知的药物相互作用。平均而言,一个药物治疗方案包含6.58种药物和2.68种药物相互作用。在此,我们通过药物相互作用概况对药物相互作用潜在不良事件的负担进行量化,并纳入解剖治疗化学分类系统提供的多种替代药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3914/5001747/cedd605fd9d4/2382866f1.jpg

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