Delirium 协议对住院的老年退伍军人 Deliriogenic 药物使用的影响
Alison M Weygint1, Brandon LaMarr1, Stephanie Lee1
1Southern Arizona VA Health Care System, Pharmacy Service, Tucson, Arizona.
The Senior care pharmacist
|July 31, 2024
概括
南亚利桑那州VA医疗保健系统的一项痴呆症预防方案没有显著改变老年退伍军人痴呆症药物使用情况. 该研究没有发现药物使用,痴呆症诊断或实施后住院时间的显著差异.
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.
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 南亚利桑那州VA医疗保健系统 (SAVAHCS) 在2019年推出了一项痴呆症预防和治疗方案.
- 痴呆症是老年患者的一种严重疾病,常常被药物加剧.
研究的目的:
- 评估一种痴呆症协议对住院老年退伍军人痴呆症药物使用的影响.
- 其次要目标包括评估 Delirium 诊断率的变化,住院时间和新的 Deliriogenic 药物处方.
主要方法:
- 对65岁以上的退伍军人电子健康记录的回顾性分析,这些退伍军人被录取到SAVAHCS住院医疗病房.
- 数据收集于协议前 (2018年) 和协议后 (2021年) 期间,不包括患有戒断综合征的患者.
- 两组之间的药物使用,妄想诊断和停留时间的比较.
主要成果:
- 在协议前 (34.1%) 和协议后 (36.2%) 组 (P=0.098) 之间,在总体上使用狂妄药物方面没有统计学上显著的差异.
- 出院时 Delirium 诊断的比率,住院时间和新开始服用 Deliriogenic 药物的比率也没有显著差异.
- 总共分析了5491名患者,其中2940名患者在协议前,2551名患者在协议后.
结论:
- 在SAVAHCS实施的痴呆症预防和治疗方案并没有显著改变住院老年退伍军人的痴呆症药物处方模式.
- 可能需要进一步的研究来确定更有效的策略,以减少妄想药物使用和改善这种人群中妄想的结果.
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