瑞士养老院居民的积极的老年人药物管理和降低处方努力
Julian Gsell1, Sandro Baumgartner2, Mathias Schlögl3
1Department of Chemistry and Applied Biosciences, Swiss Federal Institute of Technology Zurich (ETHZ), 8093 Zurich, Switzerland.
Journal of clinical medicine
|April 12, 2025
概括
养老院的积极药物管理改变了患者的处方,但并没有减少整体的多药性. 使用Beers标准的临床决策支持系统 (CDSS) 对老年人减少药物服用的影响有限.
科学领域:
- 老年医学 老年医学
- 临床药房 临床药房
- 医疗保健服务研究 医疗服务研究
背景情况:
- 多发病率和多药性是老年护理中的重大挑战.
- 这些问题会对生活质量产生负面影响,并增加医疗保健费用.
- 有效的药物管理策略对于这一群体至关重要.
研究的目的:
- 评估养老院居民的积极药物管理.
- 用Beers标准评估临床决策支持系统 (CDSS) 的实用性.
主要方法:
- 用个人访问和CDSS来评估药物管理.
- 这项研究包括56名养老院居民.
- 收集和分析了定期和按需处方的数据.
主要成果:
- 观察到多种药物的高流行率 (平均水平). 7.9 常规,5.1 按需处方).
- 在87.5%的患者中,主动管理导致了持续的药物改变.
- 减少心血管药物和抗酸药物的使用 (p < 0.05),但没有减少整体多药性. CDSS警报显示临床相关性较低.
结论:
- 积极的老年人药物管理导致持续的变化,但不是整体的多药性减少.
- 特定高风险药物类别的使用减少,可能降低不良事件和成本.
- 基于算法的警报 (Beers标准) 有局限性;针对复杂的老年人需求,个性化评估是必不可少的.
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