潜在不合适的药物:在机构住院的老年人中进行的试点研究
Amanda Andrade1, Tânia Nascimento1,2, Catarina Cabrita1
1Escola Superior de Saúde, Universidade do Algarve (ESSUAlg), Campus de Gambelas, Edifício 1, 8005-139 Faro, Portugal.
Healthcare (Basel, Switzerland)
|July 13, 2024
概括
住院老年人经常遇到与药物相关的问题,超过90%的人使用多种药物,超过86%的人服用潜在不合适的药物 (PIM). 对这一群体来说,全面的药物评估至关重要.
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.
- 公共卫生 公共卫生
背景情况:
- 住院的老年人往往有复杂的药物治疗方案.
- 多药性,药物相互作用和PIM使用增加了药物不良事件的风险.
- 在这个人群中使用药物的数据有限.
研究的目的:
- 鉴定住院老人的药物使用和PIM.
- 评估社会人口统计学,临床和药物治疗资料.
- 在阿尔加维的ERPI居民中识别与药物有关的风险.
主要方法:
- 对96名住院老人 (平均年龄为86.6岁) 的横截面研究.
- 被训练有素的研究人员审查的药物概况.
- 使用欧盟(7)-PIM清单识别的潜在不合适药物.
主要成果:
- 超过90%的人有多药店 (平均9.1种药物).
- 大约92%的人经历了潜在的药物相互作用.
- 超过86%的人至少使用了一种PIM,主要是中枢神经系统药物.
结论:
- 住院老年人面临着与药物相关问题的高风险.
- 必须对药物进行全面的评估.
- 需要适应的处方实践来优化护理.
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