药物优化虚拟跨学科老年病专家 (MOVING) 计划的结果:可行性研究
Joanne Man-Wai Ho1,2,3, Eric To4,5, Rebecca Sammy6
1Department of Medicine, McMaster University, Waterloo, ON, Canada. joanneho@mcmaster.ca.
Drugs - real world outcomes
|November 26, 2023
概括
一个虚拟老年人咨询服务 (MOVING) 减少了老年人潜在不合适的药物. 虽然总处方没有显著变化,但有害药物事件有所减少,支持进一步评估.
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.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 药物不良事件 (ADEs) 显著影响老年人的健康和医疗保健成本.
- 优化药物处方和减缓处方可以减轻ADEs.
- 跨学科的老年人虚拟咨询服务为药物管理提供了一种新的方法.
研究的目的:
- 评估虚拟跨学科老年病专家计划 (MOVING) 的处方结果.
- 在干预之前和之后评估总处方,多药和特定药物类别的变化.
主要方法:
- 移动项目的前后可行性研究 (2018年6月至12月).
- 涉及老年临床药理学,药学和精神病学专业知识,用于65岁以上的成年人.
- 主要结局:完全不同的处方和多药 (≥4种药物). 二次结果:根据需要的处方,酒/STOPP标准,精神药物,阿片类药物和糖尿病药物.
主要成果:
- 包括40名患者 (平均年龄为80.6岁).
- 每名患者平均处方总数没有显著变化 (p=0.07).
- 根据酒 (p=0.002) 和STOPP (p<0.001) 标准,观察到按需要处方 (p<0.001) 和潜在不合适药物的统计显著下降.
结论:
- 移动模型有效地减少了对老年人潜在不合适药物的处方.
- 研究结果表明,MOVING模型有可能提高药物安全性,并需要进一步评估卫生系统的影响.
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