对老年人可能不适当的处方的STOPP/START标准:版本3
Denis O'Mahony1,2, Antonio Cherubini3, Anna Renom Guiteras4
1Department of Medicine (Geriatric Medicine), School of Medicine, University College Cork, Cork, Ireland. denis.omahony@ucc.ie.
European geriatric medicine
|May 31, 2023
概括
更新的STOPP/START标准版本3,重点关注可能不合适的药物和处方遗漏,已被欧洲专家验证. 这一修订增强了老年人的药物安全性.
科学领域:
- 老年人药物疗法药物疗法
- 药物的安全性 药物的安全性
- 临床实践指南 临床实践指南
背景情况:
- 根据STOPP/START标准,可以确定老年人处方问题.
- 之前的版本于2008年和2015年出版.
- 本研究介绍了第三个更新版本.
研究的目的:
- 修订和更新停止/开始标准.
- 纳入潜在不合适药物 (PIM) 和潜在的处方遗漏 (PPO) 的新证据.
- 确保处方指南的临床相关性和准确性.
主要方法:
- 系统性文献综述 (2014年4月至2022年3月).
- 德尔菲共识过程涉及11名欧洲老年人药物治疗专家.
- 使用SurveyMonkey®进行在线调查,并使用五分利克特级别的同意标准.
主要成果:
- 190个基于证据的标准 (133个STOPP,57个START) 得到了验证.
- 这意味着与版本2相比,标准增加了66.7%.
- 在德尔菲进程的四轮会议中达成共识.
结论:
- 已经验证了STOPP/START标准的修订和更新版本 (版本3).
- 德尔菲共识过程确保了专家对新标准达成一致.
- 此更新版本旨在改善老年人群的药物管理.
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