老年住院成年人中的药物使用差异 从急性后护理设施出院到家中
Eduard Eric Vasilevskis1, Silas P Trumbo2, Avantika Saraf Shah3
1Division of Hospital Medicine, Department of Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA; Center for Quality Aging, Vanderbilt University Medical Center, Nashville, TN, USA; Section of Hospital Medicine, Division of General Internal Medicine & Public Health, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA; Center for Health Services Research, Vanderbilt University Medical Center, Nashville, TN, USA; Geriatric Research Education and Clinical Center, VA Tennessee Valley Healthcare System, Nashville, TN, USA.
老年人在急性护理 (PAC) 退院后经常面临药物差异. 在这个关键的过渡时期,需要采取干预措施来提高药物安全性.
科学领域:
- 老年学是一门学科.
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在护理过渡期间,药物不一致是常见的.
- 从急性后护理 (PAC) 到家庭的过渡是老年人药物管理的脆弱时期.
- 在这种特定的过渡期间,药物异常的流行病学数据有限.
研究的目的:
- 描述从PAC过渡到家庭的老年人中药物不一致的频率和类型.
- 为了确定与药物异常相关的风险因素,在PAC释放后.
主要方法:
- 参与者 (年龄≥50岁,≥5种药物) 从PAC过渡到家庭的嵌套队列分析.
- 药物不一致性通过将PAC排放清单与自我报告的药物进行比较,评估出院7天后.
- 分类差异 (添加,省略,剂量变化) 并分析危害风险 (酒标准).
主要成果:
- 98%的参与者在PAC释放7天内经历了至少一种药物差异.
- 平均每人发现7个差异,其中4个可能是不合适的药物 (酒标准).
- 更高的出院前药物差异和护理人员的协助是出院后差异的预测因素.
结论:
- 从PAC转回家的老年人有很高的药物差异风险.
- 这凸显了在PAC过渡到家庭期间,有针对性的干预措施的关键需求.
- 改善药物管理至关重要,因为患者在住院和PAC逗留后恢复自我护理.
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