老年人药物使用质量和安全:2022年更新
Shelly L Gray1, Nicole Brandt2, Kenneth E Schmader3,4
1Plein Center for Geriatric Pharmacy Research, Education and Outreach, School of Pharmacy, University of Washington, Seattle, Washington, USA.
Journal of the American Geriatrics Society
|December 1, 2023
概括
本综述强调了2022年关于老年人药物安全性的四项关键研究,重点关注抑郁症,减少不良药物事件和优化药物使用以获得更好的健康结果.
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.
- 患者安全 患者安全
背景情况:
- 对老年人来说,药物的使用和安全性至关重要.
- 优化药物治疗方案是医疗保健的主要优先事项.
研究的目的:
- 确定和审查四项2022年关于老年人药物使用和安全性的示范性研究.
- 涵盖包括停止处方,药物安全和优化药物使用在内的领域.
主要方法:
- 通过OVID和期刊手工搜索识别的高质量研究的审查.
- 包括一个集群随机试验 (MedSafer研究),一个回顾性队列研究,一个开放标签的受控试验,以及一个Delphi方法的共识过程.
主要成果:
- 医学安全研究表明,电子决策支持的药物不良事件减少了抑郁症.
- 一项对外科手术期间的 gabapentin 的研究发现了医院内不良事件.
- 药剂师主导的干预减少了老年护理设施中药物诱导的恶化.
- 一个德尔菲过程开发了一个共识列表的处方级联.
结论:
- 审查的研究为改善老年人药物安全性和使用提供了宝贵的见解.
- 亮点包括降低处方策略,管理外科手术期间的药物风险,药剂师干预以及识别处方级联.
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