中国临床保健杂志2024,Vol.27Issue(3) :394-398.DOI:10.3969/J.issn.1672-6790.2024.03.025

老年住院患者潜在不适当用药情况分析

Analysis of potential inappropriate medication use among elderly hospitalized patients

倪清清 王勇 王娜 陈琼 林凤梅 王柯莉
中国临床保健杂志2024,Vol.27Issue(3) :394-398.DOI:10.3969/J.issn.1672-6790.2024.03.025

老年住院患者潜在不适当用药情况分析

Analysis of potential inappropriate medication use among elderly hospitalized patients

倪清清 1王勇 1王娜 1陈琼 1林凤梅 1王柯莉1
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作者信息

  • 1. 安徽医科大学附属滁州医院药剂科,滁州 239000
  • 折叠

摘要

目的 调查分析老年住院患者潜在不适当用药情况,减少用药风险.方法 参照《中国老年人潜在不适当用药判断标准(2017年版)》,对安徽医科大学附属滁州医院8 423例65岁以上老年患者用药情况进行评价,检出潜在的不适当用药处方.结果 5 107例(60.63%)患者均存在潜在的不适当用药,其中与药物种类相关不适当用药7 658项,与疾病状态相关不适当用药860项,主要涉及抗血小板药物、非甾体抗炎药、胰岛素、苯二氮䓬类.老年患者潜在不适当用药的关键影响因素为联合用药数.结论 老年患者普遍存在潜在不适当用药情况,应积极采取药学干预.

Abstract

Objective To investigate and analyze the occurrence of potential inappropriate drug use of elderly hospitalized inpatients,so as to reduce the risk of drug use.Methods According to the criteria for judging the potential inappropriate use of drugs for the elderly in China(2017),8 423 elderly patients over 65 years old in the First People's Hospital of Chuzhou were evaluated to detect the potential inappropriate use of drugs.Results A total of 5 107 subjects(60.63%)existed potentially inappropriate medication,including 7 658 inappropriate medication related to the type of drug and 860 inappropriate medication related to the disease state,mainly involving anti-platelet drugs,insulin,BZDs and NSAIDs.The key factor on potentially inappropriate medication in elderly inpatients was the combined use of drugs.Conclusions Potential inappropriate drug use is common in elderly patients,and pharmacological interventions should be actively adopted.

关键词

处方不当/潜在不当用药清单/影响因素分析/住院病人/老年人

Key words

Inappropriate prescribing/Potentially inappropriate medication list/Root cause analysis/Inpatients/Aged

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出版年

2024
中国临床保健杂志
卫生部北京医院 安徽省保健委员会

中国临床保健杂志

CSTPCD
影响因子:0.931
ISSN:1672-6790
参考文献量22
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