台湾老年多病症患者的潜在不适当药物使用
Betty Chia-Chen Chang1,2, I-Hua Lai2, Yee-Yung Ng3
1Department of Family Medicine, Mackay Memorial Hospital, Taipei City, Taiwan.
Pharmacoepidemiology and drug safety
|August 30, 2024
概括
在台湾,有多种慢性疾病的老年人中,使用潜在不合适的药物 (PIM) 非常普遍. 患者和处方者因素都对PIM的使用有所贡献,突出了提高药物安全性的有针对性的干预措施的需要.
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:
- 与药物相关的问题是老年人多病症的一个重要问题,增加了不良健康结果的风险.
- 在这个人口群体中,多药和复杂的疾病状况加剧了药物安全挑战.
研究的目的:
- 调查潜在不合适药物 (PIM) 使用在台湾的老年人与多病症的流行.
- 为了确定与患者相关的和与处方者相关的因素,与此群体中PIM使用相关.
主要方法:
- 台湾国家健康保险研究数据库对2018年65岁以上多病症和门诊处方患者的分析.
- 基于2019年酒标准的PIM使用定义.
- 应用多重物流回归来识别相关因素.
主要成果:
- 在2,432,416名具有多病症的老年人中观察到PIM使用的高患病率 (85.6%).
- 患者因素 (年龄,性别,慢性疾病,访问频率) 和处方因素 (医生特征,环境,药物数量,先前的PIM使用) 与PIM使用有显著的关联.
结论:
- 潜在的不适当的药物使用在台湾的多病症老年人中很普遍.
- 解决患者和处方者因素对于提高这种脆弱人群的药物质量和安全至关重要.
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