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一项探索性研究,旨在评估美国食品药品监督管理局不良事件报告系统中30种最常见的肺栓塞药物。

An Exploratory Research to Evaluate the 30 Most Common Pulmonary Embolism Drugs in the Food and Drug Administration Adverse Event Reporting System.

作者信息

Chen Hang, Shen Yiming, Mu Yinyu, Xu Shuguang, Shen Shimo, Shen Weiyu, Hu Zeyang, Li Hongxiang, Qiu Keyue, Zhang Jiaheng, Chen Zhe, Xu Guodong

机构信息

Department of Thoracic Surgery, The Affiliated Lihuili Hospital, Ningbo University, Ningbo, Zhejiang Province, China.

Department of Otology and Skull Base Surgery, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China.

出版信息

Clin Respir J. 2025 Jun;19(6):e70054. doi: 10.1111/crj.70054.

Abstract

BACKGROUNDS

Pulmonary embolism (PE) is a common disease and a common cause of death. However, it is currently unclear which clinically common drugs can lead to PE.

METHODS

We collected, organized, and analyzed reports from the first quarter of 2018 to the fourth quarter of 2022. We performed disproportionality analysis algorithms to calculate reporting odds ratio (ROR), which could quantify the signal values of different adverse events (AEs).

RESULTS

We have screened a total of 3091 drugs, with AE containing "PE" and calculated the ROR signal values of the top 30 drugs reported and ranked them. TESTIM (ROR = 32.03[28.77-35.66]), BARICITINIB (ROR = 23.48[20.55-26.83]), and NUVARIANG (ROR = 19.89[17.13-23.10]) are the drugs with the strongest correlation with PE. In addition, among the 30 drugs with the strongest correlation with PE, most of which are Biologics & Immunomodulators. Therefore, when using these 30 drugs, it is necessary to be alert to the possible risk of PE.

CONCLUSION

In our study, we filtered 30 common drugs that could cause PE through the FAERS public database, which provides theoretical support for drug selection in the treatment of malignant tumors and IMID.

摘要

背景

肺栓塞(PE)是一种常见疾病,也是常见的死亡原因。然而,目前尚不清楚哪些临床常用药物会导致PE。

方法

我们收集、整理并分析了2018年第一季度至2022年第四季度的报告。我们进行了不成比例分析算法,以计算报告比值比(ROR),该比值可量化不同不良事件(AE)的信号值。

结果

我们共筛选了3091种药物,其AE包含“PE”,并计算了报告的前30种药物的ROR信号值并进行排名。TESTIM(ROR = 32.03[28.77 - 35.66])、巴瑞替尼(ROR = 23.48[20.55 - 26.83])和NUVARIANG(ROR = 19.89[17.13 - 23.10])是与PE相关性最强的药物。此外,在与PE相关性最强的30种药物中,大多数是生物制剂和免疫调节剂。因此,在使用这30种药物时,有必要警惕PE的可能风险。

结论

在我们的研究中,我们通过FAERS公共数据库筛选出30种可能导致PE的常用药物,这为恶性肿瘤和IMID治疗中的药物选择提供了理论支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddad/12140972/4c972541a520/CRJ-19-e70054-g001.jpg

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