在老年人中开发和实施药剂师领导的阿司匹林降低处方算法
Ugene Sano1, Marissa Uricchio1, Theresa Redling1,2
1Cooperman Barnabas Medical Center, Livingston, New Jersey, USA.
Journal of the American Geriatrics Society
|April 15, 2025
概括
一个阿司匹林降解算法显著降低了70岁以上成年人不适当使用阿司匹林的主要心血管预防. 这种方法还有助于降低出血风险和多药性治疗,而不会增加不良心血管事件.
科学领域:
- 老年医学 老年医学
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 低剂量阿司匹林用于老年人动脉样硬化心血管疾病 (ASCVD) 的初级预防与增加出血有关,但没有证实的益处.
- 这项研究针对70岁以上患者不适当使用阿司匹林.
研究的目的:
- 为了评估阿司匹林减产算法在减少70岁及以上患者不适当使用阿司匹林的有效性.
- 评估阿司匹林降低处方的安全性,包括出血事件和心血管结果.
主要方法:
- 一项介入前和介入后的研究,涉及70岁以上接受低剂量阿司匹林治疗的患者.
- 开发和实施一个跨学科的阿司匹林解药算法.
- 在5个月的随访期内监测不适当的阿司匹林使用,出血事件,主要心血管事件和住院病例.
主要成果:
- 不适当使用阿司匹林的比例从实施前阶段的24.9%下降到实施后阶段的20.3% (p < 0.01).
- 118名患者有资格接受抑郁症治疗,22名患者被处方阿司匹林.
- 两组之间在重大/轻微出血,主要心血管事件或心血管住院期间没有发现显著差异.
结论:
- 一种阿司匹林降低处方算法有效地减少了老年人不适当使用阿司匹林的ASCVD初级预防.
- 在老年人群中,以算法为指导的抑郁症可以减轻出血风险和多药性.
相关概念视频
Antiplatelet Drugs: Prostaglandin Synthesis, P2Y12 and Glycoprotein IIb/IIIa Inhibitors
396
Antiplatelet drugs emerge as frontline defenders against the insidious threat of thromboembolic diseases, where abnormal clots obstruct vital blood vessels. These drugs stand as bulwarks, inhibiting platelet aggregation and clot formation, thereby mitigating the risk of life-threatening conditions like myocardial infarction, coronary artery disease, and thrombotic strokes.
Prostaglandin synthesis inhibitors, exemplified by the widely known aspirin, wield their power by irreversibly acetylating...
Prostaglandin synthesis inhibitors, exemplified by the widely known aspirin, wield their power by irreversibly acetylating...
396
Peptic Ulcer Disease IV: Management
51
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
51
Factors Affecting Drug Response: Overview
1.7K
When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
1.7K
Prescription, Nonprescription and Orphan Drugs
658
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
658
Nonlinear Pharmacokinetics: Dependence of Elimination Half-Life and Dose Clearance
48
The elimination half-life and drug clearance of drugs following nonlinear kinetics can vary with dosage. The Michaelis-Menten parameters and drug concentration influence these factors. As the dose increases, the elimination half-life tends to lengthen, resulting in a reduction in clearance and a disproportionately larger area under the curve. The total clearance can be derived from the Michaelis-Menten equation for drugs following a one-compartment model.
A study on guinea pigs examined the...
A study on guinea pigs examined the...
48
Drug Dosage Regimen: Overview
3.3K
A drug dosage regimen describes the specific instructions and schedule for administering a drug to a patient. It considers factors such as drug dosage, frequency, route of administration, and duration of treatment. Designing an appropriate dosage regimen for a patient aims to achieve a target drug concentration at the site of action.
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
3.3K


