在丹麦临时住院的老年患者中,药物使用模式
Hanin Harbi1,2, Carina Lundby1,2, Peter Bjødstrup Jensen1
1Clinical Pharmacology, Pharmacy and Environmental Medicine, Department of Public Health, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.
European geriatric medicine
|May 7, 2025
概括
临时住院的患者使用许多药物,在进入这些设施后,新处方的数量大幅增加,包括高风险药物. 这凸显了这一群体对药物管理的关键需求.
科学领域:
- 老年人药理学老年人药理学
- 医疗服务研究 医疗服务研究
- 药物的安全性 药物的安全性
背景情况:
- 临时住宿单位为脆弱和多种健康状况的老年人提供服务.
- 了解这种人群中的药物使用模式至关重要,但有限.
- 这项研究解决了关于在丹麦临时停留期间使用处方药的知识差距.
研究的目的:
- 描述在丹麦临时停留单位的患者中处方药的使用情况.
- 为了确定药物开始的模式和转移到临时护理的时间周围的变化.
主要方法:
- 一项涉及11424名丹麦14个市区临时住宿单位患者的药物使用研究 (2016-2023年).
- 使用了来自丹麦国家处方注册表的处方数据.
- 在临时居留入境前和之后的四个月内分析了药物使用情况.
主要成果:
- 患者在入院前使用了六种药物类别的中位数,其中68%使用了五种或更多.
- 药物使用在入院后加剧,新药开始使用急剧增加,特别是药,止痛药和抗生素.
- 高风险药物使用量从70%上升到83%,其中49%的人开始服用新的高风险药物,如阿片类药物和抗凝剂.
结论:
- 丹麦临时住院的患者表现出相当大的药物负担,包括高风险药物.
- 药物开始的显著增加发生在过渡到临时护理时.
- 这些发现强调了对这种脆弱的患者群体进行全面的药物审查和管理的重要性.
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