入院前的药物和老年住院患者最近的跌倒:一项观察性研究
Louise Clarkson1,2, Anthony Griffiths2, Shu-Kay Ng1
1School of Medicine & Dentistry, Griffith University, Gold Coast, QLD, Australia.
International journal of clinical pharmacy
|February 7, 2025
概括
老年人的多药性与跌倒的增加有关. 简化复杂的药物治疗方案,避免服用镇静剂和抗胆固醇药,可以降低老年患者的跌倒风险.
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:
- 跌倒是老年人面临的一个重大问题,多药制药被确定为潜在的促成因素.
- 药物治疗方案的复杂性可能会加剧老年人群中跌倒的风险.
研究的目的:
- 调查入院前药物与老年住院患者跌倒史之间的关联.
- 为了确定与药物相关的特定因素,有助于老年人跌倒.
主要方法:
- 一项观察性研究涉及65岁及以上的住院患者,持续了四年.
- 计算药物治疗方案复杂性指数 (MRCI),药物负担指数 (DBI) 和抗胆固醇对认知效应 (AEC) 评分.
- 管理多药店和跌倒问卷以评估跌倒史和药物使用模式.
主要成果:
- 包括194名参与者 (平均年龄为80.2岁),其中55%的人报告在过去六个月内下降.
- 较高的MRCI (≥20),AEC (≥2) 和DBI (≥1) 评分在调整年龄后与跌倒史有显著联系.
- 忘记服用药物也与跌倒风险增加有关.
结论:
- 简化复杂的药物治疗方案和采用以患者为中心的药物管理对于降低老年人跌倒风险至关重要.
- 镇静剂和抗胆固醇药物应谨慎使用或避免使用,因为它们与跌的增加有关.
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