在养老院开发一个多学科的药物管理计划:随机对照试验的协议:在养老院的多学科药物管理
Hye Jun Lee1, Sunmee Jang2, Ju-Yeun Lee3
1Department of Family Medicine, Chung-Ang University Hospital, College of Medicine, Chung-Ang University, Seoul, 06973, South Korea.
BMC geriatrics
|March 4, 2024
概括
本研究评估了一项多学科药物管理计划,以减少养老院居民的多药和不适当的药物使用. 该计划旨在通过优化这种高风险人群的药物治疗方案来改善健康结果.
科学领域:
- 老年学是一门学科.
- 临床药房 临床药房
- 公共卫生 公共卫生
背景情况:
- 多药和潜在不合适的药物 (PIM) 在养老院居民中很普遍,导致不良结果.
- 降低处方是缓解这些问题的策略,但在养老院的最佳实施仍然不清楚.
研究的目的:
- 评估多学科药物管理计划对养老院居民药物使用和健康问题的影响.
- 评估一个结构化计划的有效性,以减少高风险人群中的多药和PIMs.
主要方法:
- 一个多中心随机对照试验,涉及22个韩国养老院的1672名居民 (≥65岁).
- 干预组接受了全面的药物审查,药物处方和多学科病例会议.
- 结果在多个时间点测量,直到干预后12个月,主要终点包括不良药物事件,PIMs,妄想,ED访问,住院和跌倒.
主要成果:
- 该研究旨在测量药物不良事件的发生率,PIM的数量,妄想发病率,急诊室访问,住院和跌倒.
- 二级终点包括减少药物和多药店用户的数量.
结论:
- 该试验引入了一个独特的,结构化的计划,以解决养老院中的多药和PIM.
- 结果将阐明多学科药物管理在这个脆弱的人群中的实际影响.
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