抗胆固醇尺度及其与多药学,认知和功能损失的关系在巴西的老年人中
Mônica de Souza Brito Conti1, Adriana Sañudo1, Luiz Roberto Ramos1
1Programa de Pós-Graduação em Saúde Coletiva, Departamento de Medicina Preventiva, Universidade Federal de São Paulo. R. Botucatu 740, 4º andar, Vila Clementino. 04223-062 São Paulo SP Brasil. msbconti@unifesp.br.
老年人经常使用具有抗胆固醇活性 (MAA) 的药物,增加不良事件风险. 这项研究评估了老年人中的MAA患病率和负担,发现与性别和多药学有显著的关联.
科学领域:
- 老年学是指老年学的学科.
- 临床药房 临床药房
- 药物监督 药物监督 药物监督
背景情况:
- 老龄化人口对抗胆固醇活性药物 (MAA) 的利用率很高.
- 老年人特别容易受到与MAA相关的不良事件.
- 抗胆固醇风险尺度是评估MAA负担的关键工具.
研究的目的:
- 调查老年人群中MAA的患病率和负担.
- 评估不同抗胆固醇风险尺度之间的一致性.
- 探索MAA与老年人多药,认知和功能能力的关联.
主要方法:
- 一项涉及60岁及以上参与者的横截面研究.
- 使用了多种抗胆固醇风险表:抗胆固醇药物表 (ADS),抗胆固醇风险表 (ARS),抗胆固醇认知负担表 (ACB) 和巴西抗胆固醇活性药物表 (BSMAA).
- 使用卡帕系数和物流回归分析了与人口统计,临床和功能因素相关的规模协议.
主要成果:
- 在1143名接受采访的老年人中,53.5%使用MAA.
- 在ADS/ACB (0.642),ADS/BSMAA (0.669) 和ACB/BSMAA (0.656) 之间观察到良好的一致性.
- 多变量分析确定了性别和多药性作为与MAA使用相关的统计学上显著因素.
结论:
- 显著比例的老年人使用MAA,突出了相当大的公共卫生问题.
- 选择的抗胆固醇量表显示出对评估MAA负担的良好的评价者间可靠性.
- 性别和多药性是影响老年人MAA使用的关键因素,需要有针对性的干预措施.
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