我们是否忘记了老年人治疗失败的问题?
Jennifer G Naples1, Sherrie L Aspinall2,3, Kenneth Schmader4,5
1Jefferson College of Pharmacy, Philadelphia, Pennsylvania, USA.
Journal of the American Geriatrics Society
|April 30, 2025
概括
治疗失败 (TFs) 是老年人常见且可预防的伤害原因,发生率中位数为7.4%. 解决TF对于改善患者的治疗结果和降低医疗保健成本至关重要.
科学领域:
- 老年医学 老年医学
- 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:
- 老年人的不良药物事件包括不良药物反应,戒断事件和治疗失败 (TF).
- 治疗失败是较少被认可的不良药物事件,尽管它们在1991年被描述.
研究的目的:
- 审查有关老年患者治疗失败的医学文献.
- 讨论基于证据的方法和未来的研究机会,以解决TFs.
主要方法:
- 在2024年6月之前对医学文献进行叙述性审查.
- 总结了有关老年人治疗失败的相关文章.
主要成果:
- 确定了16项评估老年人TF的研究.
- 中位数TF率为7.4%,大多数TF被认为是可以预防的.
- 常见原因包括不遵守和处方不足;研究在设计和样本大小方面存在局限性.
结论:
- 治疗失败是老年人普遍和可预防的伤害来源.
- 医疗费用增加了住院时间,增加了疾病的持续性,降低了生活质量,增加了社会成本.
- 需要更强大的研究来了解TFs的经济和人文影响.
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