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Updated: Jul 2, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

下肢切断を伴う高齢者における潜在的に不適切な薬剤使用

Samantha Jeanne Stauffer¹, Ryan Todd Pohlig², John Robert Horne³

¹Delaware Limb Loss Studies, University of Delaware, Department of Physical Therapy, STAR Campus, 540 South College Ave, Suite 144A, Newark, DE, 19713, USA; Independence Prosthetics-Orthotics, Inc. 550 S. College Ave, Suite 111, Newark, DE, 19713, USA.

Geriatric nursing (New York, N.Y.)

|February 17, 2024

要旨

目的:

本研究の目的は、下肢切断（LLL）を有する高齢者における潜在的に不適切とされる薬剤（PIMs）の処方実態を評価し、それに寄与する要因を検討することであった。

方法:

本研究は、2013年9月から2022年11月の間に学際的な肢体欠損クリニックを通じて収集された横断的データセットの二次解析である。クリニックでの対面インタビュー時に自己申告による薬剤リストを確認し、患者の評価年に対応する米国老年医学会（American Geriatrics Society）のBeers基準と照らし合わせた。

結果:

参加者82名（72.9 ± 6.6歳、男性78.0%）のうち、n = 41名（50.0%）が1種類以上のPIMの使用を報告した。PIMの処方は、幻肢痛の有無、上部消化管疾患の既往歴、および服用薬剤数が多いことと有意に関連していた。

Discussion:

下肢切断（LLL）を伴う高齢者では、ポリファーマシーおよび潜在的に不適切である薬剤（PIM）の使用が一般的です。潜在的な副作用を最小限に抑えるため、切断後の薬剤、特に疼痛管理薬剤には十分な注意を払う必要があります。

キーワード:

高齢の切断患者老年医学ポリファーマシー潜在的に不適切な薬剤リスト

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