90岁及以上人群的药物使用:全国性研究
Lukshe Kanagaratnam1, Laura Semenzato2, Edouard-Pierre Baudouin3
1EPI-PHARE Scientific Interest Group, French National Agency for Medicines and Health Products Safety, French National Health Insurance, Saint-Denis, France; Université de Reims Champagne-Ardenne, UR 3797 VieFra, CHU Reims, Unité d'Aide Méthodologique, Reims, France.
90岁及以上的个体的药物使用率随着年龄的增长略有下降,但多药性仍然很高. 应该考虑停止治疗以减轻与此群体多种药物相关的风险.
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:
- 最老的人口部分 (年龄≥90岁) 正在快速增长.
- 了解这一人口群体的药物使用模式对于优化医疗保健至关重要.
研究的目的:
- 在90岁及以上的个人中描述药物处方,多药和超多药.
- 根据性别,年龄组和居住地分析药物使用趋势.
主要方法:
- 一项队列研究利用了法国国家健康数据系统的2022年数据.
- 包括90岁或以上的普通保险计划的个人.
- 分析了不同的人口群体和季度的分发药物,多药 (≥5种药物) 和超多药 (≥10种药物).
主要成果:
- 在696,498名受试者中,女性占73.2%;年龄在90-94岁之间占75.9%.
- 通常处方的药物包括抗高血压药 (73.8%),止痛药 (58.8%) 和抗血栓剂 (55.3%).
- 多药在第一季度影响了77.7%,随着年龄的增长,预防性药物减少,症状管理药物增加的趋势.
结论:
- 药物处方显示,随着年龄的增长和养老院居民的缓慢下降,这可能是不足的.
- 应该考虑停止治疗,考虑到有限的预期寿命,以防止多药的不良影响.
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