多药和过度多药的流行和趋势:国家数据库的回顾性分析 (2012-2021)
Lorenz Van der Linden1,2, Jos Tournoy3,4
1Pharmacy Department, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium. lorenz.vanderlinden@uzleuven.be.
International journal of clinical pharmacy
|May 5, 2024
概括
在比利时,从2012年到2021年,多药和过度多药在比利时增加,特别是在老年人中. 监测药物使用对于患者安全和医疗保健成本至关重要.
科学领域:
- 制药科学 制药科学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 多药制对患者安全构成重大风险,并增加医疗保健支出.
- 医疗保健的有效管理需要不断监测多药制药的流行及其趋势.
研究的目的:
- 确定比利时多药和过度多药的流行和时间趋势.
- 分析比利时不同年龄组和地区的多药模式.
主要方法:
- 联邦索赔数据库被用于分析2012年至2021年的药物数据.
- 多药性 (≥5种药物) 和过度多药性 (≥10种药物) 计算为每1000名居民.
- 使用线性回归来评估年龄和年龄对多药性流行率的影响.
主要成果:
- 在2021年,多药和过度多药分别影响了135/1000和31/1000人.
- 从2012年到2021年,这两种情况都呈现稳步增长的趋势,过度多药的增长速度更快.
- 患病率在65岁或以上的成年人中明显较高,并且因地区而异,在瓦隆地区达到顶峰.
结论:
- 十多年来,比利时见证了多药和过度多药的增加,特别是在老年人群中.
- 年龄和年龄是与增加多药房率相关的重要因素.
- 药物治疗方案的持续监测和优化对于安全有效的医疗保健至关重要.
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