药剂师干预老年初级保健诊所不适当的阿司匹林处方
Paige Tulcewicz1, Kimberly Atkinson1, Andrea Koff1
1HCA Florida North Florida Hospital, Outpatient Pharmacy, Gainesville, Florida.
药剂师成功地建议停止不适当的阿司匹林使用,以预防老年人的初级预防. 这项干预显示了75%的接受率,改善了老年护理中的药物适用性.
科学领域:
- 老年医学 老年医学
- 预防心血管疾病 预防心血管疾病
- 药剂师干预 药剂师干预
背景情况:
- 阿司匹林在动脉样硬化心血管疾病 (ASCVD) 的初级预防中的作用是有争议的,因为缺乏改善的结果和增加的出血风险.
- 尽管有证据,但许多老年人继续服用阿司匹林作为初级预防药物,这凸显了人们在遵守指导方针方面的差距.
- 识别和解决不适当的阿司匹林处方对于老年人群的患者安全至关重要.
研究的目的:
- 评估药剂师主导干预措施对停止不适当的阿司匹林处方用于初级预防的影响.
- 评估药剂师建议在老年初级保健机构中的有效性.
主要方法:
- 在老年初级保健诊所处方阿司匹林的患者的回顾性审查.
- 药剂师确定了阿司匹林的适用性,并建议在初级预防病例中停止服用阿司匹林.
- 记录了药剂师推的接受率和拒绝率.
主要成果:
- 在528名患者中,122名 (48%) 为初级预防服用阿司匹林.
- 药剂师建议122名患者停止治疗,其中91个建议被接受 (75%的接受率).
- 很大一部分患者在初级ASCVD预防中被不适当地处方阿司匹林.
结论:
- 药剂师审查有效地识别和停止不适当的阿司匹林处方用于老年人ASCVD初级预防.
- 对阿司匹林适宜性的常规评估是必要的,以使药物使用与当前的证据和指导方针保持一致.
- 这种干预表明药剂师在优化药物管理和改善老年护理患者结果方面的价值.
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