两种评价标准在老年住院病人用药合理性评价中的应用

Analysis of potential inappropriate medication in elderly inpatients with two criteria

目的:应用两种评价标准对中国医科大学附属第一医院老年住院病人不适当用药问题进行回顾性分析,对两种评价标准进行比较。方法:选取三个不同层次点评人员,分别以Beers标准(2012年版)、不合理处方点评指南对该院500例老年住院病人不适当用药问题进行评价,并应用卡方检验对两种标准及不同点评人员点评结果进行比较与分析。结果:三个点评人员根据Beers标准点评所得的不适当用药发生率分别为15.8%、14.8%和15.2%;根据不合理处方点评指南点评所得的不适当用药发生率分别为6%、19.2%和24.4%。结论:Beers标准易于操作,点评结果的一致性较好。不合理处方点评指南点评效率较高,但点评结果一致性较差。可以参照Beers标准的形式对该指南进行细化,提高其可操作性及可推广性,全面提高老年人合理用药水平。

Objective：To compare the differences of two criteria by retrospective analysis of potential inappropriate medication（PIM）among elderly inpatients in First Hospital Affiliated to China Medical University.Methods：PIM of 500 elderly inpatients were included and screened by three different persons according to Beers criterion（2012ed）and unreasonable prescription review（UPR）criteria.Chi-square analysis was used to investigate the differences between the results of two criteria.Results：According to Beers criterion,the incidence of PIM was 15.8%,14.8% and 15.2%,respectively;while according to UPR criterion,the incidence of PIM was 6%,19.2% and 24.4%,respectively.Conclusion：Beers criterion could be operated easily with good consistency,while UPR criterion as a supplement of Beers could screen more PIM.However,for bad consistency of UPR criterion,it had better refine to improve the level of rational use of drugs in elderly inpatients.