紧急服务所接待的老年患者中与药物相关的问题
Jesús Ruiz-Ramos1,2,3, Adrián Plaza-Diaz1,2,3, Cristina Roure-I-Nuez4
1Pharmacy Department, Hospital Santa Creu i Sant Pau, 08025 Barcelona, Spain.
Journal of clinical medicine
|January 11, 2024
概括
使用多种药物的老年人 (多种药店) 经常因与药物相关的问题 (DRP) 访问急诊室. 药物审查和护理协调等干预措施可以减少DRP的住院和紧急访问.
科学领域:
- 老年医学 老年医学
- 临床药房 临床药房
- 紧急医疗 紧急医疗
背景情况:
- 人口老龄化和并发症增加导致多药的增加.
- 与毒品相关的问题 (DRP) 是急诊室 (ED) 入院和再入院的重要原因.
- 通常涉及的药物类别包括抗凝剂,抗生素,抗糖尿病药物和阿片类药物.
研究的目的:
- 突出多药和DRP对紧急服务的影响.
- 确定在多药患者中减轻DRP的策略.
主要方法:
- 审查与多药相关的急诊室入院和再入院情况.
- 对最常涉及DRP的药物类别的分析.
- 评估旨在减少DRP和住院治疗的干预措施.
主要成果:
- 不适当的多药房是紧急诊所的主要驱动因素.
- 退院时的慢性药物审查,初级保健协调和退院后的电话联系是有效的.
- 这些干预措施减少了因DRP而导致的住院和ED访问.
结论:
- 实施结构化药物审查和加强护理协调至关重要.
- 这些策略提高了紧急服务的护理质量.
- 多药房的积极管理可以减少紧急医疗利用率.
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