多药与社区老年人死亡率之间的关联:回顾性队列研究
Mehmet Göktuğ Kılınçarslan1, Birol Çıbık2, Erkan Melih Şahin1
1Department of Family Medicine, School of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey.
老年人死亡率较高与药物坚持增加和处方药的数量增加有关. 局部药物不会影响死亡率,因此在评估多药时应排除它们.
科学领域:
- 老年学
- 临床药房
- 流行病学
背景情况:
- 多种药物的使用, 在社区居住的老年人群中很普遍.
- 了解多药与死亡率之间的关联对于老年护理至关重要.
- 药物管理策略需要基于证据的方法来改善健康结果.
研究的目的:
- 研究多药与社区老年人的死亡率之间的关系.
- 确定局部药物使用是否影响死亡率.
- 为老年人提供准确的多药性评估建议.
主要方法:
- 追溯的队列研究设计.
- 包括116名居住在社区的老年参与者 (平均年龄为74.09岁).
- 确定死亡率的中位随访期为2932天.
主要成果:
- 在随访期间,共有37名参与者 (31. 90%) 死亡.
- 增加药物坚持和更高的药物总数与更高的死亡率有显著关联.
- 局部药物使用与死亡率没有关联.
结论:
- 多药,不包括局部药物,与老年人死亡率的增加有关.
- 从多药房计数中排除局部药物可以更准确地评估死亡风险.
- 有效的药物管理策略对于改善老年人群的健康状况至关重要.
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