使用德尔菲技术制定澳大利亚潜在不合适药物的清单
Kate N Wang1,2, Christopher D Etherton-Beer2,3, Frank Sanfilippo4
1School of Health and Biomedical Sciences, RMIT University, Melbourne, Victoria, Australia.
Internal medicine journal
|February 2, 2024
概括
一份新的清单确定了19种可能不适合澳大利亚老年人的药物 (PIMs). 本指南有助于临床医生改善老年患者的药物安全性和管理.
科学领域:
- 老年人药理学老年人药理学
- 药物安全研究 药物安全研究
- 临床药房实践中的临床药房实践.
背景情况:
- 老年人面临着与药物相关的危害的重大风险.
- 可能不合适的药物 (PIMs) 列表有助于识别那些风险可能超过益处的药物.
- 改善药物管理和安全对于老年人群至关重要.
研究的目的:
- 为澳大利亚的老年人创建一个专门的PIM列表.
- 提高澳大利亚老年医疗护理中的药物适当性和安全性.
主要方法:
- 在澳大利亚使用Delphi技术达成专家共识.
- 两轮专家咨询分别涉及33名和32名参与者.
- 结果包括识别PIM,它们的特定不适当的背景,以及更安全的替代品.
主要成果:
- 16种药物或类别被确定为可能不适合老年人使用.
- 19种药物或类别具有特殊条件,使其不适合使用.
- 对16种药物或药物类别提出了更安全的替代品.
结论:
- 为澳大利亚老年人制定了一份明确的PIM清单,包括19种药物/类别.
- 本PIM列表作为临床指南,用于评估老年患者的药物适当性.
- 该清单补充,但不取代个性化临床治疗建议.
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