老年手术患者的多种药物治疗与四肢骨折
Takumi Taniguchi1, Risa Inagaki2, Takehiro Michikawa3
1Department of Orthopaedic Surgery, School of Medicine, Fujita Health University, Aichi, Japan.
Geriatric orthopaedic surgery & rehabilitation
|March 14, 2024
概括
多药和潜在不合适的药物 (PIMs) 与老年人的跌倒和骨折有关. 特别是抗血栓药物和利尿剂,在这个人群中显示出与关节骨折患病率的显著关联.
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.
- 整形外科手术 整形外科手术
背景情况:
- 跌倒是老年人骨折的主要原因之一.
- 多药和可能不合适的药物 (PIMs) 会增加跌倒的风险.
- 在老年有骨折的手术患者中识别PIM至关重要.
研究的目的:
- 为了确定多药的频率,并识别老年手术患者的PIMs与四肢骨折.
- 为了对患有关节骨折的老年患者处方药物的特征.
主要方法:
- 从65岁以上的患者进行手术以治疗四肢骨折的回顾性数据收集 (2019年4月 - 2021年3月).
- 定义了19个类别作为PIM.
- 使用波桑回归来分析药物计数与关节骨折患病率之间的关联.
主要成果:
- 55%的肢体骨折的老年患者使用了≥6种处方药.
- 在PIM中,催眠药,抗血栓药,利尿药和NSAID的处方率很高.
- 多药,抗血栓药和利尿药与骨骨折有显著的相关性.
结论:
- 多药和许多PIM类别与老年手术患者的关节骨折有关.
- 在这一群体中,应特别注意抗血栓药物和利尿剂.
- 这项研究澄清了肢体骨折的老年患者的药物特征,突出了与多药学相关的风险.
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