中国药物警戒2024,Vol.21Issue(7) :787-790.DOI:10.19803/j.1672-8629.20230298

基于真实世界数据的注射用尖吻蝮蛇血凝酶儿童用药安全性评价

Safety evaluation of haemocoagulase agkistrodon for injection in children based on real world data

程毅菁 李涛 刘军廷 黄贵民 钟旭丽 林爱华 潘守东 李龙 白东升 占小俊 刘振江 任韡 邰隽
中国药物警戒2024,Vol.21Issue(7) :787-790.DOI:10.19803/j.1672-8629.20230298

基于真实世界数据的注射用尖吻蝮蛇血凝酶儿童用药安全性评价

Safety evaluation of haemocoagulase agkistrodon for injection in children based on real world data

程毅菁 1李涛 1刘军廷 1黄贵民 1钟旭丽 2林爱华 2潘守东 3李龙 4白东升 5占小俊 6刘振江 7任韡 8邰隽6
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作者信息

  • 1. 首都儿科研究所儿童健康大数据研究中心,北京 100020
  • 2. 首都儿科研究所附属儿童医院药学部,北京 100020
  • 3. 首都儿科研究所附属儿童医院麻醉科,北京 100020
  • 4. 首都儿科研究所附属儿童医院普通(新生儿)外科,北京 100020
  • 5. 首都儿科研究所附属儿童医院泌尿外科,北京 100020
  • 6. 首都儿科研究所附属儿童医院耳鼻咽喉头颈外科,北京 100020
  • 7. 首都儿科研究所附属儿童医院骨科,北京 100020
  • 8. 清华大学药物警戒信息技术与数据科学创新中心,北京 100084
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摘要

目的 基于医疗机构真实世界数据,运用单臂观察性研究的方法评价注射用尖吻蝮蛇血凝酶在儿童中使用的安全性,为该药的安全使用和风险管控提供参考.方法 构建儿童用药真实世界数据库,利用大数据人工智能挖掘技术,建立药品不良反应自动监测模型,监测2014 年2月25日至 2021年1月28日首都儿科研究所附属儿童医院使用注射用尖吻蝮蛇血凝酶的住院儿童电子病历,系统报警病例经人工评价并汇总统计,获得药品不良反应的发生情况,并分析可能影响用药安全性的因素.结果 纳入研究的患者共35 720 例,注射用尖吻蝮蛇血凝酶所致皮疹、呕吐、头痛、过敏性休克的药品不良反应发生率分别为0.008%、0.003%、0.003%、0.003%,未见新的药品不良反应,在临床实践中用药天数、给药方式、单次给药剂量的合理选择有助于降低药品不良反应的发生率.结论 利用计算机辅助药品安全性评价,基于医疗机构真实世界数据获得了注射用尖吻蝮蛇血凝酶的儿童用药安全性情况,各不良反应均较为罕见,药品在整体上具有较好的安全性.

Abstract

Objective To evaluate the safety of haemocoagulase agkistrodon for injection in children by means of single-arm observational study in order to provide reference for the safe use and risk control of this drug.Methods A real world database on the use of pediatric drugs was constructed,and an automatic monitoring model of ADR was established using the AI mining technology of big data.Electronic medical records of hospitalized children who received haemocoagulase agkistrodon for injection in the Capital Institute of Pediatrics from February 25,2014 to January 28,2021 were monitored.Cases alarmed by the system were artificially evaluated and statistically analyzed so as to find out about the adverse drug reactions and analyze the risk factors for drug safety.Results A total of 35 720 patients were included in the study.Among children using haemocoagulase agkistrodon for injection,the incidence of such ADR as rash,vomiting,headache,and anaphylactic shock was 0.008%,0.003%,0.003%,0.003%in the real world,but no new ADR was observed.Prudent selection of the course of medication,modes of delivery and single administration doses could help reduce the incidence of ADR.Conclusion Haemocoagulase agkistrodon used in pediatric patients is relatively safe,with few ADR.Post-marketing safety evaluation of drugs for children,a special population,is of great significance.

关键词

尖吻蝮蛇血凝酶/注射/儿童/安全性/真实世界数据/自动监测/模型/药品不良反应

Key words

haemocoagulase agkistrodon/injection/children/safety/real world data/automatic monitoring/model/adverse drug reactions

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基金项目

北京市属医院科研培育计划(PG20241303)

国家自然科学基金资助项目(82104202)

&&(RS2024G001)

出版年

2024
中国药物警戒
国家药品监督管理局药品评价中心(国家药品不良反应监测中心)

中国药物警戒

CSTPCD
影响因子:1.105
ISSN:1672-8629
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