首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >Comparison of Increasingly Detailed Elicitation Methods for the Assessment of Adverse Events in Pediatric Psychopharmacology.
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Comparison of Increasingly Detailed Elicitation Methods for the Assessment of Adverse Events in Pediatric Psychopharmacology.

机译:儿科心理药理学不良反应评估中越来越详尽的启发方法的比较。

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OBJECTIVE:: To improve the gathering of adverse events (AEs) in pediatric psychopharmacology by examining the value and acceptability of increasingly detailed elicitation methods. METHOD:: Trained clinicians administered the Safety Monitoring Uniform Report Form (SMURF) to 59 parents and outpatients (mean age +/- SD = 11.9 +/- 3.2 years) in treatment, with 36% on stimulants, 29% on selective serotonin reuptake inhibitor drugs, 10% on both, and 25% on other drug combinations. The SMURF included a brief general inquiry, a drug-specific inquiry, and a comprehensive body system review (BSR). RESULTS:: SMURF administration took 24.6 +/- 13.9 minutes (median, 21). The BSR took 15.5 +/- 8.1 minutes (median, 14) longer (p < .0001) than the general inquiry (4.3 +/- 5.4 minutes) and the drug-specific inquiry (4.2 +/- 2.9 minutes). The general inquiry elicited 48 AEs, the drug-specific inquiry elicited 16 additional AEs, and the BSR 129 additional AEs. Of all the clinically relevant AEs elicited by the SMURF (n =36), 19 (53%) were elicited by the BSR. The BSR length and detail were acceptable to parents but not to clinicians. CONCLUSIONS:: The BSR elicited additional clinically significant AEs that had been missed with less detailed methods. Parents, but not clinicians, rated satisfaction and acceptability of the BSR as good.
机译:目的:通过检查日益详细的启发方法的价值和可接受性,以改善儿科心理药理学中不良事件(AE)的收集。方法::受过训练的临床医生向59位父母和门诊患者(平均年龄+/- SD = 11.9 +/- 3.2岁)施行了安全监测统一报告表(SMURF),其中兴奋剂36%,选择性5-羟色胺再摄取29%抑制剂药物,两者均为10%,其他药物组合为25%。 SMURF包括简短的一般询问,针对特定药物的询问以及全面的身体系统评价(BSR)。结果:SMURF的给药时间为24.6 +/- 13.9分钟(中位数为21)。 BSR比一般询问(4.3 +/- 5.4分钟)和药物特异性询问(4.2 +/- 2.9分钟)长15.5 +/- 8.1分钟(中位数为14)(p <.0001)。一般询问引起48种AE,针对药物的询问引起16种另外的AE,而BSR 129种引起另外的AE。由SMURF引发的所有临床相关AE(n = 36)中,有19例(53%)是由BSR引起的。 BSR的长度和详细信息对父母而言是可接受的,但临床医生不可接受。结论:BSR引发了其他临床上有意义的不良事件,而这些不良事件由于较不详尽的方法而被遗漏了。父母(而不是临床医生)将BSR的满意度和可接受性评为良好。

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