在使用长期护理服务的老年人中,多药和可能不合适的药物:一个横截面研究
Shotaro Hagiwara1,2, Jun Komiyama3, Masao Iwagami3,4
1Department of Hematology, Tsukuba University Hospital Mito Clinical Education and Training Center, 3-2-7 Miya-Cho, Mito, Ibaraki, Japan. hagiwara.shotaro@md.tsukuba.ac.jp.
在需要长期护理 (LTC) 的老年人中,多药和潜在不合适的药物 (PIM) 是常见的. 并发症和多位医生增加PIM,而护理设施可能会减少PIM.
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.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 需要长期护理 (LTC) 的老年人往往有多种并发症,导致多药和潜在不合适的药物 (PIM).
- 多药和PIM有助于增加医疗保健成本,并在这个脆弱人群中增加药物不良事件.
研究的目的:
- 调查接受LTC服务的老年人中多药和PIM的患病率和特征.
- 在这个人群中识别与多药和PIM相关的因素.
主要方法:
- 一项横截面研究分析了伊巴拉基县 (2018年4月至2019年3月) 的LTC和医疗保险索赔数据.
- 包括使用LTC服务的65岁以上的个人;药物处方和PIM (根据STOPP-J和Beers标准定义) 被计算.
- 一般化的线性和逻辑回归模型分析了患者背景和多药/PIM之间的关联.
主要成果:
- 包括67531名老年人;中位数的处方是7,PIM是1.
- 常见的PIM包括循环利尿剂,长期质子抑制剂,二和NSAIDs.
- 多药和PIM在患有并发症和访问多个机构的患者中较高,但在养老院居民和特定LTC服务用户中较低.
结论:
- 多药和PIM在需要LTC的老年人中很普遍,特别是那些患有并发症和多个医疗保健提供者的老年人.
- 护理设施的利用可能有助于减轻多药和PIMs在这个人群中.
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