痴呆症老年人的潜在不合适药物:移民背景是否重要?
Bianca T Strooij1, Marieke T Blom2, Hein P J van Hout3
1Amsterdam UMC, Location Vrije Universiteit Amsterdam, Department of General Practice, Amsterdam, The Netherlands; Amsterdam Public Health, Health Behaviors & Chronic Diseases, Amsterdam, The Netherlands; Amsterdam Public Health, Aging & Later Life, Amsterdam, The Netherlands.
Journal of the American Medical Directors Association
|July 15, 2024
概括
患有痴呆症的老年人和非西方移民背景的人不太可能接受痴呆症特定的潜在不适合药物 (PIMs). 这项研究探讨了这一群体中PIM处方模式.
科学领域:
- 老年学是指老年学的学科.
- 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:
- 潜在不合适的药物 (PIMs) 在移民背景的个人中更为常见.
- 痴呆症护理在药物管理方面提出了独特的挑战.
- 了解在不同痴呆症人群中PIM的使用对于公平的护理至关重要.
研究的目的:
- 调查非西方移民背景 (nw-MB) 与荷兰老年痴呆症患者的痴呆特异性PIM之间的关联.
- 为了比较具有和没有nw-MB的个体之间的PIM处方模式.
主要方法:
- 一项使用例行记录的电子健康记录和2013-2014年的行政数据的队列研究.
- 包括9055名被诊断患有痴呆症的社区老年人.
- 逻辑回归分析比较了具有和没有nw-MB的个体之间的痴呆症特异性PIM处方,并对共变量进行了调整.
主要成果:
- 与没有MB的人相比,患有nw-MB的人接受痴呆症特异性PIM的可能性较低 (30.6%vs34.4%).
- 在nw-MB组中,二胺处方的频率明显较低 (15.0%与19.3%相比).
- 痴呆症持续时间,生活状况,收入和城市化等因素并没有改变这些关联.
结论:
- 在荷兰,患有痴呆症和nw-MB的老年人接受的痴呆症特异性PIM处方较少.
- 需要进一步的研究来确定这是否反映了更好的护理质量,专业不确定性或对健康问题的认可不足.
- 解决对有移民背景的痴呆症患者的PIM处方差异至关重要.
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