在下肢损失的老年人中使用潜在不合适的药物
Samantha Jeanne Stauffer1, Ryan Todd Pohlig2, John Robert Horne3
1Delaware Limb Loss Studies, University of Delaware, Department of Physical Therapy, STAR Campus, 540 South College Ave, Suite 144A, Newark, DE, 19713, USA; Independence Prosthetics-Orthotics, Inc. 550 S. College Ave, Suite 111, Newark, DE, 19713, USA.
潜在不合适的药物 (PIM) 是常见的老年人下肢损失 (LLL). 使用PIM与幻肢疼痛,胃肠道问题和多药性有关,这凸显了切除术后需要仔细审查药物治疗的必要性.
科学领域:
- 老年学是一门学科.
- 药理学 药理学是指药理学的学科.
- 康复医学 康复医学 康复医学
背景情况:
- 患有下肢损失 (LLL) 的老年人经常管理多种健康状况.
- 在这个人口群体中,多种药物是一种重大问题,增加了药物不良事件的风险.
研究的目的:
- 确定LLL的老年人中潜在不合适药物 (PIM) 的患病率.
- 在这个人群中确定与PIM处方相关的因素.
主要方法:
- 来自跨学科肢体丧失诊所 (2013-2022) 的横截面数据集的二次分析.
- 对自我报告的药物清单的审查与美国老年病学学会的酒标准相比.
主要成果:
- 50%的参与者 (n=41/82) 报告使用至少一个PIM.
- PIM处方与幻肢疼痛,上部胃肠道问题的病史以及更多的药物治疗有关.
结论:
- 潜在的不适当的药物使用和多药在下肢损失的老年人中很普遍.
- 截肢后的药物管理,特别是对于疼痛,需要仔细考虑,以减轻不良影响.
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