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韩医院和产后护理中心产后期间草药安全性:注册研究方案(SAFEHERE-PC)。

Safety of herbal medicine in the postpartum period of a Korean Medicine hospital and postpartum care centre: protocol of a registry study (SAFEHERE-PC).

机构信息

Korea Institute of Oriental Medicine, Daejeon, Republic of Korea.

Obstetrics & Gynecology, Woosuk University, Jeonju, Republic of Korea.

出版信息

BMJ Open. 2024 Aug 24;14(8):e086645. doi: 10.1136/bmjopen-2024-086645.

Abstract

INTRODUCTION

Herbal medicines (HMs) are commonly used during the postpartum period in South Korea. However, the safety concerns associated with these medicines remain unresolved. This study aims to establish a registry of patients receiving HM treatment during the postpartum period and collect clinical data on treatments and adverse reactions to build evidence evaluating the safety of HM use.

METHODS AND ANALYSIS

This study will use a prospective observational registry, including patients admitted to the obstetrics and gynaecology department of the Woosuk University Korean Medicine Hospital's postpartum care centre. A total of 1000 eligible patients visiting the Korean medicine hospital to recover from various postchildbirth symptoms and opting for HM treatment will be enrolled in the registry. For safety assessment, demographic information, medical history, adverse events (AEs) and treatment details, including HM prescription and concomitant medication usage, will be collected throughout the patient's hospitalisation period at the postpartum care centre for analysis. Adverse reactions will be monitored daily during hospitalisation, and collected AEs will be analysed for causality using the WHO Uppsala Monitoring Centre causality assessment and the Naranjo Algorithm Score.

ETHICS AND DISSEMINATION

This study was approved by the Institutional Review Board of Woosuk University Korean Medicine Medical Center (WSOH IRB H2311-03-01). The results will be published in peer-reviewed journals or disseminated through conference presentations.

TRIAL REGISTRATION NUMBER

KCT0009060.

摘要

简介

草药(HM)在韩国产后期间经常使用。然而,与这些药物相关的安全性问题仍未得到解决。本研究旨在建立一个接受产后 HM 治疗的患者登记处,并收集关于治疗和不良反应的临床数据,以建立评估 HM 使用安全性的证据。

方法和分析

本研究将使用前瞻性观察性登记处,包括在全州大学韩医学医院产后护理中心妇产科就诊的患者。共有 1000 名符合条件的患者将被纳入该登记处,他们因各种产后症状前往韩医院接受治疗,并选择接受 HM 治疗。为了进行安全性评估,将在患者住院期间在产后护理中心收集人口统计学信息、病史、不良事件(AE)和治疗细节,包括 HM 处方和伴随用药的使用情况,进行分析。住院期间每天监测不良反应,并使用世界卫生组织乌普萨拉监测中心因果关系评估和 Naranjo 算法评分分析收集的不良事件的因果关系。

伦理和传播

本研究已获得全州大学韩医学医疗中心机构审查委员会的批准(WSOH IRB H2311-03-01)。研究结果将发表在同行评议的期刊上或通过会议报告传播。

注册号

KCT0009060。

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