药物管理以减少跌倒 - 特别关注脆弱性,多药性和处方
Mary Umapathy1, Kathrin Narvaez-Vega2, Hiro Khoshnaw1
1Department of Ageing and Health, Royal Surrey NHS Foundation Trust, Guildford, UK.
British journal of hospital medicine (London, England : 2005)
|December 24, 2025
概括
老年人的跌倒通常与多药 (多种药物) 有关. 医院药物审查可以确定减缓处方的机会,改善患者的治疗结果并减少再入院.
科学领域:
- 老年病的医生 老年病的医生
- 临床药理学 临床药理学
- 患者安全 患者安全
背景情况:
- 跌倒是住院的常见原因,特别是在脆弱的老年人中.
- 多药性是跌倒的重要危险因素,经常与脆弱性并存.
- 药理动力学和药理动力学与年龄相关的变化可能会改变药物的疗效和副作用概况.
研究的目的:
- 强调在患有摔倒的患者中进行多药房检查的重要性.
- 讨论老年患者改变药物处理的影响.
- 探索降低处方的障碍,并倡导在医院环境中启动其.
主要方法:
- 对有关落,虚弱和多药学的现有文献的审查.
- 讨论与年龄相关的药理动力学和药理动力学变化.
- 考虑药物治疗的工具和策略.
主要成果:
- 对因跌倒而入院的患者来说,多药房审查至关重要.
- 老年人对药物的反应发生了变化,增加了风险.
- 解药可能是具有挑战性的,但提供了显著的好处.
结论:
- 在住院期间启动抑郁症的处方非常重要.
- 与社区服务部门的有效沟通对于持续的抑郁是必不可少的.
- 在脆弱的老年人中解决多药学问题可以降低再接收率.
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