依据Beers标准评价门诊老年患者潜在性不适当用药

Evaluation of Potentially Inappropriate Medication in Elderly Outpatients According to Beers Criteria

目的:提高处方质量,促进合理用药,保障医疗安全。方法:以Beers(2012年版)标准为主要依据,对我院3 012例老年患者进行潜在性不适当用药(PIM)评价分析。结果:根据Beers标准判断,共有162例(5.4%)至少发生了1种PIM,其中129例(4.6%)使用了老年人避免使用的药物;46例(1.5%)使用了老年人慎用的药物;13例(8.0%)存在2种PIM情况;354例(11.8%)发生了Beers标准未包括的PIM;尚未发现与诊断或疾病状态相关的PIM。结论:Beers标准是专业判断的重要补充,门诊老年患者PIM需要综合评价标准。

OBJECTIVE： To improve the quality of prescription, and to promote the rational use of drugs and medical safety. METHODS： Taking Beers criteria （2012 edition） as the main reference, potentially inappropriate medication （PIM） of 3 012 elderly patients in our hospital were evaluated and analyzed. RESULTS： According to the Beers criteria, a total of 162 （5.4%） patients developed one kind of PIM at least, among which 129 （4.6%） elderly patients used the drugs which were forbidden for the elderly; 46 （1.5%） patients used the drugs which should be used cautiously for the elderly; 13 （8.0%） patients had two kinds of PIM; 354 （11.8%） patients had PIM which was not included in Beers criteria; PIM due to diagnosis and disease were not found. CON- CLUSIONS： Beers criteria are important supplement of professional judgment, and comprehensive evaluation criteria are required for PIM of the elderly outpatients.