伊朗老年人药物使用模式和多种药物:使用国家医疗保险索赔数据的横截面研究
Seyed Mohammad-Navid Ataei1, Ali Golestani1, Sepehr Khosravi1
1Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran (the Islamic Republic of).
多药在伊朗非常普遍
科学领域:
- 老年医学
- 公共卫生
- 药物经济学
背景情况:
- 在老年人群中使用多种药物, 尤其是在中等收入国家,
- 伊朗的老年人口对药物管理的担忧越来越大.
研究的目的:
- 调查伊朗老年人中多种药物的流行和模式.
- 确定与多种药物相关的常见药物类别和药物组合.
- 提供政策决策和提高老年人药物安全.
主要方法:
- 一项以人口为基础的追溯观察研究,利用全国范围的医疗保险索赔数据.
- 分析了2014年至2017年间伊朗健康保险组织 (IHIO) 保险的1,876,527名65岁及以上的个人数据.
- 多药性定义为使用五种或更多种药物;分析包括累积和连续的多药性,采用后勤回归和关联规则挖掘.
主要成果:
- 观察到多种药物的高患病率:74. 9%的患者在6个月内和64. 6%的患者在1个月内出现累积多种药物.
- 女性和75-79岁的个体更倾向于使用多种药物.
- 通常使用的药物包括全身葡萄皮质激素,HMG-CoA减少酶抑制剂和血小板聚合抑制剂,对影响食道,心血管,神经和血液系统的药物发现了强烈的关联.
结论:
- 在伊朗,多药在老年人中很普遍,因性别,年龄,保险和地区而有显著差异.
- 这些发现强调了针对性干预措施的必要性,以有效管理多种药物和改善药物安全.
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