在老年人中检测不良药物事件的触发器工具的应用:系统性审查和元分析
Geovana Schiavo1, Marcela Forgerini1, Fabiana Rossi Varallo2
1School of Pharmaceutical Sciences, São Paulo State University (UNESP), Department of Drugs and Medicines, Araraquara, São Paulo, Brazil.
Research in social & administrative pharmacy : RSAP
|March 27, 2024
概括
这一系统性审查确定了12种用于检测老年人药物不良事件 (ADEs) 的触发工具. 虽然灵活,有灵活的,有.
科学领域:
- 老年学是指老年学的学科.
- 药物监督 药物监督 药物监督
- 临床药房 临床药房
背景情况:
- 药物不良事件 (ADEs) 对老年人的健康和福祉构成重大风险.
- 有效检测ADEs对于及时干预和预防危害至关重要.
- 触发器工具提供了一个潜在的方法来识别ADEs在各种医疗保健环境.
研究的目的:
- 系统地识别和审查用于在老年人群中检测ADEs的触发工具.
- 描述这些已识别的触发工具的实用性和性能特征.
主要方法:
- 在PubMed,Lilacs和Scopus数据库中进行了系统的文献搜索.
- 包括涉及开发,应用或验证用于老年人ADE检测触发器工具的研究.
- 进行了元分析,以确定ADE的患病率和触发因素的积极预测值 (PPV).
主要成果:
- 确定了12个触发工具;六个是专门为老年人开发的.
- 触发因素的积极预测值 (PPV) 从11.5%到71%不等,整体PPV为33.3%.
- 常见的ADE包括代谢障碍,阿片类药物诱导的便秘,以及与二相关的跌倒和妄想.
结论:
- 触发工具具有适应性,可以帮助检测ADE,风险因素,伤害和可预防性.
- 对于触发工具性能的最佳PPV值缺乏共识.
- 需要进一步的研究来全面评估触发工具的性能,使用负预测值,灵敏度和特异性等指标.
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