2005 至 2020 年新生儿重症监护病房加巴喷丁使用趋势。

IF 1.5 4区 医学 Q3 OBSTETRICS & GYNECOLOGY
Annette G Roberts, Ryan Kilpatrick, Lindsey D Diaz, Scott Benjamin, Athziry J Espinoza Santiago, Bubacarr Jallow, Madison F Monteith, Sarah Rumsey, Reese H Clark, Kanecia Zimmerman, Daniel K Benjamin, Rachel G Greenberg
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引用次数: 0

摘要

研究目的本研究旨在分析新生儿重症监护室(NICU)中加巴喷丁的使用趋势,并研究与使用加巴喷丁相关的人口统计学特征、诊断和伴随药物:研究设计:对 2005 年至 2020 年在新生儿重症监护室住院的 987,181 名婴儿进行队列研究:85名婴儿(p p n = 45)患有慢性肺部疾病,46%(n = 39)患有胃管造口术,34%(n = 29)患有药物戒断综合征;49%(n = 42)和27%(n = 23)的婴儿分别服用了阿片类药物和苯二氮卓类药物:尽管对加巴喷丁在婴儿中的安全性和疗效的研究有限,但加巴喷丁的使用却很少见,而且随着时间的推移还在增加,这说明有必要开展进一步的研究:- 要点:加巴喷丁在婴儿中的安全性尚未得到充分了解。- 尽管安全性研究有限,但加巴喷丁的使用仍在增加。- 需要进一步研究加巴喷丁在婴儿中的使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trends in Gabapentin Use in Neonatal Intensive Care Units from 2005 to 2020.

Objective:  This study aimed to analyze trends in gabapentin use in neonatal intensive care units (NICUs) and examine demographic characteristics, diagnoses, and concomitant medications associated with its use.

Study design:  Cohort study of 987,181 infants hospitalized in the NICU from 2005 to 2020.

Results:  Eighty-five infants (<0.01%) received gabapentin. From 2009 to 2020, there was a 1,055% relative increase in gabapentin use (p < 0.01). The median birth weight was 2,160 g (25th, 75th percentiles: 875, 3,080 g) in gabapentin-exposed infants compared with 2,498 g (1,890, 3,210 g) in unexposed infants (p < 0.001). Over half (55%) of infants receiving gabapentin were born prematurely, 54% (n = 45) had chronic lung disease, 46% (n = 39) had gastrostomy tubes, and 34% (n = 29) had drug withdrawal syndrome; 49% (n = 42) and 27% (n = 23) received opioids and benzodiazepines, respectively.

Conclusion:  Use of gabapentin was rare but increased over time despite limited research on its safety and efficacy in infants, illuminating the need for further studies.

Key points: · Gabapentin safety in infants is not well understood.. · Gabapentin use increased despite limited safety research.. · Further studies on gabapentin use in infants are needed..

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来源期刊
American journal of perinatology
American journal of perinatology 医学-妇产科学
CiteScore
5.90
自引率
0.00%
发文量
302
审稿时长
4-8 weeks
期刊介绍: The American Journal of Perinatology is an international, peer-reviewed, and indexed journal publishing 14 issues a year dealing with original research and topical reviews. It is the definitive forum for specialists in obstetrics, neonatology, perinatology, and maternal/fetal medicine, with emphasis on bridging the different fields. The focus is primarily on clinical and translational research, clinical and technical advances in diagnosis, monitoring, and treatment as well as evidence-based reviews. Topics of interest include epidemiology, diagnosis, prevention, and management of maternal, fetal, and neonatal diseases. Manuscripts on new technology, NICU set-ups, and nursing topics are published to provide a broad survey of important issues in this field. All articles undergo rigorous peer review, with web-based submission, expedited turn-around, and availability of electronic publication. The American Journal of Perinatology is accompanied by AJP Reports - an Open Access journal for case reports in neonatology and maternal/fetal medicine.
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