使用Beers标准评估老年门诊患者的药物使用质量:单中心回顾性研究的发现
Kittipak Jenghua1,2, Kanchira Wutthi1, Chanisorn Wannakrachang1
1Division of Social and Administrative Pharmacy, Department of Pharmaceutical Care, School of Pharmaceutical Sciences, University of Phayao, Phayao, Thailand.
Annals of geriatric medicine and research
|June 12, 2023
概括
在泰国,老年门诊患者经常被处方潜在不合适的药物 (PIM). 多药性,女性性别和年龄较大是导致该人口使用PIM的关键因素.
科学领域:
- 老年医学 老年医学
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 缺乏对老年泰国门诊患者药物质量的全面评估.
- 这项研究调查了老年门诊患者中潜在不合适药物 (PIM) 使用的流行率和促成因素.
研究的目的:
- 确定泰国老年门诊患者潜在不适当药物使用 (PIM) 的流行率.
- 在这个人口群体中确定与PIM使用相关的因素.
主要方法:
- 一项横截面研究追溯分析了60岁及以上门诊患者的处方.
- 2019年美国老年病学学会 (AGS) 的酒标准被用于识别五个类别的PIM.
- 分析了22,099名患者的数据.
主要成果:
- 近四分之三的老年门诊患者接受了PIM.
- 最常见的PIM类别是I类 (68.90%) 和III类 (44.23%).
- 与PIM使用相关的因素包括女性性别,75岁以上的年龄,多种药物,多种诊断类别和多种慢性疾病.
结论:
- 在泰国的老年门诊患者中,潜在的不适当的药物使用非常普遍.
- 多药学成为与PIM使用相关的最重要的因素.
- 这些发现凸显了对优化老年人药物管理的干预措施的需要.
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