不良事件的历史、流行病学和临床特征

Kozulina Irina, Danilov Alexey, Andrianov Vladimir
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引用次数: 1

摘要

医学和药学的快速发展为控制和治疗各种疾病带来了新的高科技医疗产品。不幸的是,它并没有纠正药物不良事件(ADE)的问题,从轻微的副作用到严重的超敏反应,这可能导致新的疾病,在某些情况下形成暂时或完全残疾和死亡。现在世界上大约有1.7万种不同的药物,其中近90%是在过去十年中完成的。根据最近十年的最新数据,ADE的死亡率在世界上占4-6个地方。在各种情况下,ADE的住院率从2%、4%到12%不等。此外,ADE增加了患者治疗的直接和间接成本。在美国,每年治疗ADE患者的费用约为3010万美元。根据Sultana的说法,一个ADE患者的治疗费用平均约为2262美元。Wester等认为,最常见的ADE是胃肠道出血、脑脊液出血、心血管意外以及其他出血和肾脏疾病。药物中ADE发生率主要为非甾体类抗炎药。根据Lazarou等人的meta分析前瞻性研究,ADE导致的死亡病例超过10万例。马卡里认为,最常见的ADE是由于医疗失误。
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History, Epidemiology and Clinical Characteristic of Adverse Events
Rapid medicine and pharmacy progress bring new high-technology medical product to controlling and treating different diseases. Unfortunately, it does not correct a problem of drugs adverse events (ADE) from mild side effects till severe hyper sensitivity reactions, which can lead a new diseases and forming a temporary or total disability and death in some cases. There are about 17 thousand of different medicines in the world now, nearly 90% of them where done in last ten years. According to update data in last ten years mortality rate due to ADE takes 4-6 places in the world. In various ways the rate of hospitalization due to ADE is from 2%, 4% to 12%. As well as, ADE increases the volume of direct and indirect cost of patient treatment. In USA treatment of patients with ADE is about 30, 1 milliard dollars per year. According to Sultana, treatment cost for one person with one ADE averages about 2262$. According to Wester et al. most often ADE are gastrointestinal bleeding, cerebrospinal bleeding, cardiovascular accidents, and other bleeding and renal disorders. Primary ADE rate among medicines belong to nonsteroidal antiinflammatory drug. According to meta-analysis prospective studies of Lazarou et al. as a result of ADE there were more than 100000 death cases. Makary determined that most commonly ADE was because of medical error.
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