2种标准评估老年住院患者潜在不适当用药

Evaluation of potential inappropriate medication in hospitalized elderly patients based on two criteria

目的:调查分析某院老年住院患者潜在不适当用药情况,并考察2种标准适用性。方法:分别以Beers标准和中国老年人潜在不适当用药目录为依据,对该院1 000例老年住院患者潜在不适当用药情况进行评估分析。结果:1 000例老年住院患者平均年龄为(70.38±8.28)岁,平均患病(6.35±3.50)种,平均用药品种(14.89±7.08)种。依据Beers标准,480例(48.00%)存在潜在不适当用药,共673项;依据中国老年人潜在不适当用药目录,585例(58.50%)存在潜在不适当用药,共896项。结论:中国老年人潜在不适当用药目录及Beers标准在评估老年患者潜在不适当用药均具有重要的参考价值,应结合临床药师的专业技能,综合评价分析,为临床合理用药提供可靠依据和参考。

OBJECTIVE To analyze the potential inappropriate medication among hospitalized elderly patients in our hospi- tal,and investigate the applicability of two criteria. METItODS Beers criteria and list of potential inappropriate medication for the Chinese aged people were used as the references, to evaluate and analyze potential inappropriate medication of 1000 hospital- ized elderly patients. RESULIS The average age of 1000 elderly hospitalized patients was （70. 38 ± 8. 28） years old and number of the average kinds of diseases was （6.35 ± 3.50）. For each patient, 14. 89 ± 7.08 kinds of medicine had been used. According to the Beers criteria,480 patients （48. 00%） got 673 potential inappropriate medication. According to list of potential inappro- priate medication for the Chinese aged people,585 patients （58. 50%） got 896 potential inappropriate medication. CONCLUSION Beers criteria and list of potential inappropriate medication for the Chinese aged people both have important application value in evaluating PIMs. Professional skills of clinical pharmacists and comprehensive evaluation analysis should be combined to provide reliable basis and reference for clinical rational drug use.