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Exploring the drug-induced anemia signals in children using electronic medical records

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机构: [a]Clinical Research Center, National Center for Children’s Health, Beijing Children’s Hospital, Capital Medical University, Beijing, China [b]School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing, Jiangsu, China [c]Center for Clinical Epidemiology and Evidencebased Medicine, National Center for Children’s Health, Beijing Children’s Hospital, Capital Medical University, Beijing, China [d]Department of Pharmacy, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China
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关键词: adverse drug reaction anemia children Detection electronic medical record

摘要:
Objectives: The objectives were to identify drugs related with anemia in children and evaluate the novelty of these correlations. Methods: The authors established a two-step method for detecting the relationship between drugs and anemia using electronic medical records (EMRs), which were obtained from 247,136 patients in Beijing Children’s Hospital between 2007 and 2017. The authors extracted potential drugs by mining cases for hemoglobin abnormalities from the EMR and then performed a retrospective cohort study to correlate them with anemia by calculating the matched odds ratios and 95% confidence interval using unconditional logistic regression analysis. Results: In total, nine positive drug-anemia associations were identified. Among them, the correlations of drugs fluconazole (OR 3.95; 95%CI: 2.65–5.87) and cefathiamidine (OR 3.49; 95%CI: 2.94–4.15) with anemia were considered new signals in both children and adults. Three associations of drugs, vancomycin, cefoperazone-sulbactam and ibuprofen, with anemia were considered new signals in children. Conclusion: The authors detected nine signals of drug-induced anemia, including two new signals in children and adults and three new signals in children. This study could serve as a model for using EMR and automatic mining to monitor adverse drug reaction signals in the pediatric population. © 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group.

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出版当年[2018]版
大类 | 3 区 医学
小类 | 3 区 药学
最新[2023]版
大类 | 3 区 医学
小类 | 3 区 药学
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出版当年[2017]版:
Q2 PHARMACOLOGY & PHARMACY
最新[2023]版:
Q2 PHARMACOLOGY & PHARMACY

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

第一作者:
第一作者机构: [a]Clinical Research Center, National Center for Children’s Health, Beijing Children’s Hospital, Capital Medical University, Beijing, China [b]School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing, Jiangsu, China
通讯作者:
通讯机构: [a]Clinical Research Center, National Center for Children’s Health, Beijing Children’s Hospital, Capital Medical University, Beijing, China [*1]Clinical Research Center, National Center for Children’s Health, Beijing Children’s Hospital, Capital Medical University, No.56 Nanlishi Road, Beijing 100045, China [*2]Clinical Research Center, National Center for Children’s Health, Beijing Children’s Hospital, Capital Medical University, No.56 Nanlishi Road, Beijing 100045, China
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