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首页> 外文期刊>The Canadian journal of hospital pharmacy. >Appropriateness of Apixaban Dosing to Prevent Stroke in Patients with Atrial Fibrillation: A Pilot Study
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Appropriateness of Apixaban Dosing to Prevent Stroke in Patients with Atrial Fibrillation: A Pilot Study

机译:细胞纤维化患者预防脑卒中的Apixaban剂量的适当性:试验研究

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Background: The ARISTOTLE study investigated apixaban, at a dose of 5 mg PO bid, for the prevention of stroke in patients with atrial fibrillation; however, it has been noted anecdotally that many patients are receiving 2.5 mg PO bid, despite being eligible for the full dosage. A recent study examining the use of dabigatran and rivaroxaban found that many patients were receiving these medications inappropriately; however, a literature search conducted in April 2016 showed that apixaban had not been formally studied in this context. Objective: To evaluate the appropriateness of apixaban dosing for stroke prevention in patients with atrial fibrillation, relative to the dose used in the ARISTOTLE study and recommendations in the product monograph. Methods: This retrospective chart review was conducted at a 300-bed Canadian teaching hospital. All inpatients with atrial fibrillation for whom apixaban was prescribed for stroke prevention in March 2015 were considered for inclusion. The appropriateness of apixaban dosing was determined in relation to the ARISTOTLE methodology and product monograph recommendations (i.e., 5 mg PO bid, with a lower dosage of 2.5 mg PO bid if warranted on the basis of age, weight, or serum creatinine level).
机译:背景:亚里士多德研究调查了甲苯甲烷,以5毫克PO竞标,用于预防心房颤动患者中风;然而,尽管有资格获得全剂量,但缺点已经注意到许多患者接受了2.5毫克PO投标。最近的一项研究检查Dabigatran和Rivaroxaban的使用发现许多患者接受这些药物不合适;然而,2016年4月进行的文献搜索表明,在这种背景下没有正式研究了Apixaban。目的:评价细胞腔颤动患者中风预防卒中预防的适当性,相对于亚里士多德研究和产品专着的建议剂量。方法:此回顾性图表审查是在300床加拿大教学医院进行的。所有适用于2015年3月在2015年3月在2015年3月预防卒中预防的心房颤动的住院患者被认为是包容性的。关于亚里士多德方法和产品专用图建议确定亚昔齐纳给药的适当性(即5毫克PO吩咐,如果根据年龄,体重或血清肌酸酐水平保证,则较低剂量为2.5mg PO投标。

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