全国紧急情况部门数据分析预测酒在老年人中使用药物的清单
Sangil Lee1, Gabrielle Frediani1, Brian C Lund2
1Department of Emergency Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa.
The Journal of emergency medicine
|May 11, 2024
概括
在5.9%的美国紧急诊所出院的老年人中,发现了潜在不适当的药物 (PIM) 使用. 年轻的年龄和较低的即时性与增加的PIM处方有关,而痴呆症和东北农村地区的使用量减少.
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.
- 公共卫生 公共卫生
背景情况:
- 潜在不合适的药物 (PIMs) 是老年人护理的关键质量指标.
- 在急诊室 (ED) 访问期间,老年人使用PIM需要评估.
研究的目的:
- 根据2019年美国老年病学学会酒标准,评估从美国ED出院的老年人中PIM使用模式.
- 为了确定与该人口中PIM使用相关的人口,临床和医院因素.
主要方法:
- 分析了2019年国家医院门诊护理调查 (NHAMCS) 关于65岁及以上的成年人从EDS出院的数据.
- 根据AGS 2019酒标准对PIM的定义.
- 后勤回归模型用于确定与PIM使用相关的因素.
主要成果:
- 总体而言,5.9%的老年人ED访问导致PIM处方或管理.
- bensodiazepines (25.5%) 和抗胆固醇药 (42.5%) 是最常见的PIMs.
- 较年轻的年龄 (65-74岁),较低的直接性,痴呆症和东北农村地区与PIM使用有显著的关联.
结论:
- 年轻的年龄和较低的即时性与ED中老年人中较高的PIM处方相关.
- 痴呆症和居住在东北农村地区与在这个环境中使用PIM的比例较低有关.
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