预测退院后老年人药物相关伤害:澳大利亚的可行性研究
Phu Sabei Shwe1, Amy Page2,3, H Laetitia Hattingh4,5,6
1Monash Ageing and Research Centre (MONARC), Melbourne 3168, Australia.
The International journal of pharmacy practice
|May 30, 2025
概括
在医院出院时识别有药物相关危害 (MRH) 风险的老年患者是可行的. 这项研究发现,MRH发生在6个再入院病例中,其中4个可能是可以预防的病例.
科学领域:
- 老年医学 老年医学
- 临床药房 临床药房
- 患者安全 患者安全
背景情况:
- 年龄较大的患者在医院出院后面临与药物相关的危害 (MRH) 的风险增加.
- 有效的鉴定和后续策略对于减轻MRH在这个人群中至关重要.
研究的目的:
- 评估使用MRH风险预测工具对老年患者在医院出院时的可行性.
- 为了确定MRH的发病率和严重程度,导致重新入院.
- 评估社区对这些患者的随访情况.
主要方法:
- 从澳大利亚昆士兰州的普通医疗病房招募了65岁以上的患者.
- 病房药剂师预测MRH风险预出院;患者被跟踪了八周.
- 一个专家小组使用病例摘要和PRIME工具对再入院患者进行了MRH的评估.
主要成果:
- 招募了39名患者,其中31人完成了随访.
- 23名患者 (59%) 在56天内至少重新入院一次.
- 在5名患者中,有6名再入院患者与MRH有关,其中4人可能可以预防.
结论:
- 在澳大利亚招募和跟踪老年患者以研究MRH负担是可行的.
- 在这种医疗环境中,可以使用风险识别工具.
- 这项研究强调了在退院后对老年人治疗MRH的重要性.
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