衰弱老年人合理用药处方筛查工具的介绍及解读

Introduction and interpretation of the screening tool of older persons prescriptions in frail adults with limited life expectancy

爱尔兰科克大学附属医院专家组于2017年发布了衰弱老年人合理用药处方筛查工具(STOPP Frail工具),主要应用于预期寿命有限的衰弱老年人。该筛查工具最初由爱尔兰科克大学附属医院专家组根据临床经验和文献报道创建,并通过对17名专家小组成员进行的3轮德尔菲论证及反馈信息,最终纳入工具列表的是李克特量表为4分/5分(同意/完全同意)和第25百分比≥4分的条目,共27条标准。STOPP Frail工具旨在协助临床药物治疗,减少衰弱老年人的潜在不适当用药。

Screening Tool of Older Person's Prescriptions(STOPP)in Frail old patients(STOPP Frail)with limited life expectancy is a list of explicit criteria for potentially inappropriate medication(PIM)using in frail older adults.STOPP Frail criteria were initially created by the experts from Cork university hospital based on the clinical experience and literature appraisal and released in 2017 by an expert panel of Cork university hospital, Ireland.Using Delphi consensus methodology, the panelists ranked their agreement with each criterion on a 5-point Likert scale and provided a written feedback.Twenty-seven criteria with a median Likert response of 4/5(agree/strongly agree)and a 25th centile of ≥4 scores were included in the final list.STOPP Frail may assist physicians in deprescribing medications to reduce the PIM use in frail older adults.