潜在不适当的处方在艾滋病毒感染的老年人:一个范围审查
Manuel Vélez-Díaz-Pallarés1, Eva Delgado-Silveira1, Jorge Fernández-Fradejas1
1Servicio de Farmacia, Hospital Universitario Ramón y Cajal, IRYCIS. Madrid, Spain; and.
Journal of acquired immune deficiency syndromes (1999)
|October 18, 2023
概括
在艾滋病毒感染的老年人中,潜在不合适的药物 (PIM) 是常见的. 目前用于在一般老年人群中识别PIM的工具可能无法完全满足艾滋病毒感染者 (PLHIV) 独特需求.
科学领域:
- 老年医学 老年医学
- 传染性疾病 传染性疾病
- 临床药房 临床药房
背景情况:
- 抗逆转录病毒疗法已经将艾滋病毒从致命转变为慢性,使艾滋病毒感染者 (PLHIV) 的预期寿命接近正常.
- PLHIV经历加速衰老和增加非艾滋病定义条件,导致并发症和多药.
- 由于复杂的药物治疗方案,处方可能不合适的药物 (PIMs) 在较老的PLHIV中具有重大风险.
研究的目的:
- 进行范围审查,以确定用于在较旧的PLHIV中检测PIM的工具.
- 探索在这个人群中识别PIM所需的具体挑战和适应.
主要方法:
- 对5个电子数据库和艾滋病毒会议摘要 (2010-2022) 的综合范围审查.
- 在搜索中没有语言或日期限制.
- 从最初的50,193个记录中,包括标准导致了39项相关研究.
主要成果:
- 大多数研究是单一中心,主要来自欧洲,其中28项是横截面的.
- 明确的标准,特别是酒和STOPP-START,主要用于识别PIM.
- 在老年PLHIV中发现潜在的不适当处方是常见的.
结论:
- 潜在的不适当的处方是老PLHIV中普遍存在的问题.
- 现有的用于老年人PIM识别的工具可能需要适应PLHIV.
- 隐式工具显示出潜在的有效性,但在时间效率和标准化方面面临挑战.
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