Revilla et al. 2010

Vancomycin dosing assessment in intensive care unit patients based on a population pharmacokinetic/pharmacodynamic simulation

British Journal of Clinical Pharmacology · 10.1111/j.1365-2125.2010.03679.x

Structure

A one-compartment model, driven by age, creatinine clearance, serum creatinine and weight.

Study population

Critically ill patients — Spain and Europe. Fitted to 191 patients and 569 concentration observations.

Covariate As reported
Age 61.1 ± 16.3 yr
Weight 73 ± 13.3 kg
BMI 26.2 ± 4.1 kg/m²
CrCl 74.7 ± 58 mL/min
SCr 1.4 ± 1 mg/dL

Reported as the source publication gives them — mean ± SD, or median with range or interquartile range.

Equations

The model's structural parameters as Chorus implements them.

CL(mL/min/kg)=0.67CrClWeight+Age0.24CL_{(mL/min/kg)} = 0.67 \cdot \frac{CrCl}{Weight} + Age^{-0.24}V1=0.82Weight{2.49SCrbaseline>1.01.0SCrbaseline1.0V_1 = 0.82 \cdot Weight \cdot \begin{cases} 2.49 & SCr_{baseline} > 1.0 \\ 1.0 & SCr_{baseline} \le 1.0 \end{cases}
LaTeX source
CL_{(mL/min/kg)} = 0.67 \cdot \frac{CrCl}{Weight} + Age^{-0.24}
V_1 = 0.82 \cdot Weight \cdot \begin{cases} 2.49 & SCr_{baseline} > 1.0 \\ 1.0 & SCr_{baseline} \le 1.0 \end{cases}

Implementation notes

One-compartment model developed for adult ICU patients. The volume covariate stratifies patients on their baseline creatinine and is held fixed for the course.

Simulation settings

Models

selected

Dose candidates (mg)

Interval candidates (h)

Demographics

Physical characteristics.

kg
cm
yr