住院老年患者的多机构药物使用模式:回顾性跨部分研究
Chung Chun Lee1, Grace Juyun Kim2, Suhyun Kim3,4
1Department of Biomedical Informatics, College of Medicine, Konyang University, Daejeon, Republic of Korea.
JMIR medical informatics
|January 29, 2026
概括
这项研究重新定义了老年住院患者的多药学,建议10-19种药物作为比传统的5个更合适的门. 这一更新的定义更好地反映了这一群体复杂的药物需求.
科学领域:
- 老年医学 老年医学
- 临床药房 临床药房
- 医疗保健服务研究 医疗服务研究
背景情况:
- 人口老龄化增加了慢性疾病和多药.
- 在多个机构的老年住院患者的多药学标准上存在有限的研究.
研究的目的:
- 分析老年住院患者的多药模式.
- 建立适当的标准来定义这个人口群体中的多药学.
主要方法:
- 从4个医疗机构 (2012-2020) 分析电子健康记录.
- 包括65岁及以上的患者.
- 文献审查和国际指导方针为多药水平的确定提供了信息.
主要成果:
- 建议建立一个四级多药制 (非多药制,多药制,主要多药制,过度多药制).
- 主要的多药性 (10-19种药物) 被建议作为一个比传统的5+药物更合适的门,用于住院的老年人.
- 主要多药组中常见的处方药包括抗菌剂,麻醉剂和心脏疗法.
结论:
- 介绍了一种针对老年住院患者的新型多药房分类系统.
- 拟议的系统挑战了5种或更多同时使用的药物的传统定义.
- 在老年住院患者,包括接受重大手术的患者中,疾病和药物负担较高,支持调整的门.
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