複数の薬剤と脳卒中を生き延びた患者の処方態度:患者中心のケアを強化するための機会
Alyssa K Chao1, James F Burke2, Ran Bi2
1Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
まとめ
脳卒中の生存者は多剤療法 (複数の薬) の割合が高くなります. 脳卒中を生き延びた患者や高齢者は 鬱病の処方箋を好んでおり この集団における薬剤管理介入の必要性を強調しています
科学分野:
- ゲロントロジー
- 神経学
- 薬理学について
背景:
- 高齢者における多用薬は重大な懸念事項であり,有害事象のリスクを高めます.
- 脳卒中を生き延びた人は しばしば複雑な健康上のニーズがあり 複数の薬が必要で ポリファーマシーを悪化させる可能性があります
研究 の 目的:
- 脳卒中を生き延びた高齢者における多用薬剤の有無を定量化する.
- 脳卒中の生存者と脳卒中のない高齢者のうつ病に対する態度を評価する.
主な方法:
- 米国医療保険受給者 (≥65歳) の横断分析
- ポリファーマシー 常用薬がない (≤5),中程度 (6-10),または重症 (>10) と分類される.
- 薬剤に対する態度モジュールで評価されたうつ病の態度; 転倒や併発症に調整された回帰分析.
主要な成果:
- 脳卒中の生存者は,中程度の (39. 4% 対 29. 8%) と重度の (22. 6% 対 9. 8%) ポリファーマシーの割合が,脳卒中の生存者と比較して有意に高かった.
- 脳卒中の生存者の87%以上と 脳卒中のない高齢者の89%が 薬の投与を中止する意思を表明した.
- ポリファーマはうつ病に対するポジティブな態度と 最も強い関連性を示した.
結論:
- 脳卒中を生き延びた人は 脳卒中でない人よりも ポリファーマの負担が大きいのです
- 薬の最適化に対する受容性を示す. 薬の最適化に対する受容性を示す.
- 脳卒中を生き延びた人は 健康状態を改善するための 標的型うつ病診断の 重要な集団です
さらに関連する動画
12:18A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment
Published on: January 11, 2020
7.6K
09:52Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
17.3K
関連する概念動画
Drug Therapy
97
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
97
Acute Coronary Syndrome IV: Interprofessional Care
26
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
26
Psychosis: Goals of Pharmacotherapy
209
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
209
Peripheral Artery Disease III: Interprofessional Care
29
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
29
Coronary Artery Disease V: Interprofessional Care
30
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
30
Atherosclerosis IV: Nursing Management
50
Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
50
