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Development of an application for management of drug holidays in perioperative periods

発表形態:
原著論文
主要業績:
主要業績
単著・共著:
共著
発表年月:
2020年05月
DOI:
10.1097/MD.0000000000020142
会議属性:
指定なし
査読:
有り
リンク情報:

日本語フィールド

著者:
○Sakiko Kimura, Akiko Emoto, Mariko Yoshimura, Kota Arimizu, Tomoko Kamura, Rintaro Sogawa, Kikumi Mizuta, Yasuhiro Tagomori, Masahiro Natsuaki, Masataka Kajiwara, Nanae Tsuruoka, Yusuke Yakushiji, Yoshinori Tanigawa, Chihiro Takamatsu, Atsushi Danjo, Keiji Kamohara, Naomi Hirakawa, Yoshiro Sakaguchi, Mitsuru Noguchi, Hirokazu Noshiro, Atsushi Kawaguchi, Eisaburo Sueoka, Yutaka Narisawa, Shinya Kimura
題名:
Development of an application for management of drug holidays in perioperative periods
発表情報:
Medicine (Baltimore) 巻: 99 号: 19 ページ: e20142
キーワード:
概要:
Before surgery and other invasive treatments, decisions must be made on whether to discontinue drugs and provide appropriate drug holidays especially for antithrombotic drugs, and this is made difficult by the large number of available drugs and associated guidelines. We have therefore developed an online application for perioperative drug discontinuation and resumption management, named Saga Application for Management of Drug Holidays in PeriOperative Periods (SAMPOP).Multidisciplinary medical staff at Saga University Hospital (SUH) worked together to build an evidence-based Perioperative Drug Discontinuation Management Database (PDDMD) and developed the user-friendly SAMPOP online application via preliminary verification at SUH. From September 2018 to February 2020, 420 medical staff at SUH, including physicians, nurses, and pharmacists, installed and tested SAMPOP.Rate per surgical procedure for forgetting to discontinue antithrombotic drugs preoperatively decreased from 0.18% to 0.09% as of August 2019, 12 months after the introduction of SAMPOP (P = .1359). In addition, six months later, it decreased further to 0.03% as of February 2020 (P = .0436). Forgetting to resume antithrombotic drugs postoperatively decreased from 0.20% to 0.02% as of August 2019, 12 months after the introduction of SAMPOP (P = .0008). There was no case of forgetting to resume the medication in the last 6 months.SAMPOP may be useful for management of drug holidays in the clinic and warrants further evaluation of its safety and efficacy.
抄録:

英語フィールド

Author:
○Sakiko Kimura, Akiko Emoto, Mariko Yoshimura, Kota Arimizu, Tomoko Kamura, Rintaro Sogawa, Kikumi Mizuta, Yasuhiro Tagomori, Masahiro Natsuaki, Masataka Kajiwara, Nanae Tsuruoka, Yusuke Yakushiji, Yoshinori Tanigawa, Chihiro Takamatsu, Atsushi Danjo, Keiji Kamohara, Naomi Hirakawa, Yoshiro Sakaguchi, Mitsuru Noguchi, Hirokazu Noshiro, Atsushi Kawaguchi, Eisaburo Sueoka, Yutaka Narisawa, Shinya Kimura
Title:
Development of an application for management of drug holidays in perioperative periods
Announcement information:
Medicine (Baltimore) Vol: 99 Issue: 19 Page: e20142
An abstract:
Before surgery and other invasive treatments, decisions must be made on whether to discontinue drugs and provide appropriate drug holidays especially for antithrombotic drugs, and this is made difficult by the large number of available drugs and associated guidelines. We have therefore developed an online application for perioperative drug discontinuation and resumption management, named Saga Application for Management of Drug Holidays in PeriOperative Periods (SAMPOP).Multidisciplinary medical staff at Saga University Hospital (SUH) worked together to build an evidence-based Perioperative Drug Discontinuation Management Database (PDDMD) and developed the user-friendly SAMPOP online application via preliminary verification at SUH. From September 2018 to February 2020, 420 medical staff at SUH, including physicians, nurses, and pharmacists, installed and tested SAMPOP.Rate per surgical procedure for forgetting to discontinue antithrombotic drugs preoperatively decreased from 0.18% to 0.09% as of August 2019, 12 months after the introduction of SAMPOP (P = .1359). In addition, six months later, it decreased further to 0.03% as of February 2020 (P = .0436). Forgetting to resume antithrombotic drugs postoperatively decreased from 0.20% to 0.02% as of August 2019, 12 months after the introduction of SAMPOP (P = .0008). There was no case of forgetting to resume the medication in the last 6 months.SAMPOP may be useful for management of drug holidays in the clinic and warrants further evaluation of its safety and efficacy.


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