对接受治疗性血浆置换患者的药物清除情况进行检查:回顾性研究

Ugur Balaban, Emre Kara, Sherif Hanafy Mahmoud, Osman Ilhami Ozcebe, Kutay Demirkan
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引用次数: 0

摘要

导言:治疗性血浆置换(TPE)可清除致病物质,但也可能影响药物浓度。本研究旨在通过回顾患者的用药史,评估可通过 TPE 清除的处方药的普遍性:方法:2021 年 1 月 1 日至 2022 年 12 月 31 日进行了一项回顾性单中心研究。研究包括 244 名接受 1087 次 TPE 治疗的患者。在 TPE 日为患者开具的药物可通过 TPE 去除的情况分为 "是"(可能去除)、"也许"(可能去除)和 "否"(不可能去除):在 3966 张处方中,分析了 556 张(14.0%),其中 21.8%、36.5% 和 41.7%属于可移除性 "是"、"可能 "和 "否 "类别。虽然只有 14.0% 的患者进行了分类,但 83.6% 的患者接受了至少一种可分析的药物。其中,83.8%的患者至少使用了一种可能可移除的药物:真实世界的数据凸显了在 TPE 期间药物治疗需要谨慎,以确保最佳治疗效果,尤其是对特定药物。
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Examination of drug removal profiles in patients undergoing therapeutic plasma exchange: A retrospective study.

Introduction: Therapeutic plasma exchange (TPE) eliminates disease-contributing substances but may also affect drug concentrations. This study aimed to assess the prevalence of prescription drugs removable via TPE by reviewing patient medication histories.

Methods: A retrospective, single-center study was conducted from January 1, 2021 to December 31, 2022. The study included 244 patients undergoing 1087 TPE sessions. Drugs prescribed to patients on TPE days were categorized as "yes" (probably removable), "maybe" (possibly removable), and "no" (unlikely removable) regarding their removability via TPE.

Results: Among 3966 prescriptions, 556 (14.0%) were analyzed, with 21.8%, 36.5%, and 41.7% falling into the "yes," "maybe," and "no" categories for removability. Although only 14.0% were categorized, 83.6% of patients received at least one analyzable drug. Among them, 83.8% had at least one potentially removable drug.

Conclusion: Real-world data highlights the need for caution in drug treatments during TPE to ensure optimal therapeutic outcomes, particularly for specific drugs.

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