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药物对老年人真的有毒性吗?

Are drugs really toxic for older people?

作者信息

Beard Keith

出版信息

Expert Opin Drug Saf. 2003 May;2(3):211-3. doi: 10.1517/14740338.2.3.211.

DOI:10.1517/14740338.2.3.211
PMID:12904100
Abstract

Many diseases are now treatable with modern drugs. Elderly people, because they suffer from age-related illnesses, stand to gain the most, but they are also at risk from adverse drug reactions (ADRs). There are complex reasons for the increased frequency of ADRs, including poor prescribing, polypharmacy, altered drug handling and response, and poor compliance. Difficulties with interpretation of apparent ADR data include uncertainties about exposure and various confounding factors, for example, confounding by indication. Some simple prescribing guidelines can significantly help to minimise the extent of the clinical problem. These include:

摘要

现在,许多疾病都可用现代药物治疗。老年人由于患有与年龄相关的疾病,受益最大,但他们也面临药物不良反应(ADR)的风险。ADR发生频率增加有复杂的原因,包括处方不当、多种药物并用、药物处理和反应改变以及依从性差。解读明显的ADR数据存在困难,包括暴露情况的不确定性和各种混杂因素,例如适应症混杂。一些简单的处方指南可显著有助于将临床问题的严重程度降至最低。这些指南包括:

相似文献

1
Are drugs really toxic for older people?药物对老年人真的有毒性吗?
Expert Opin Drug Saf. 2003 May;2(3):211-3. doi: 10.1517/14740338.2.3.211.
2
Adverse drug reactions and polypharmacy in the elderly in general practice.全科医疗中老年人的药物不良反应与多重用药
Eur J Clin Pharmacol. 1999 Sep;55(7):533-6. doi: 10.1007/s002280050669.
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Adverse drug reactions in special populations - the elderly.特殊人群中的药物不良反应——老年人
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[Increased consumption of drugs among the elderly results in greater risk of problems].老年人药物消费量增加会导致出现问题的风险更大。
Lakartidningen. 2001 Apr 4;98(14):1674-9.
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Adverse drug reactions in an elderly hospitalised population: inappropriate prescription is a leading cause.老年住院患者的药物不良反应:不适当的处方是主要原因。
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Polypharmacy in elderly: a cautious trail to tread.老年人的多重用药:一条需谨慎前行的道路。
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Polypharmacy: the challenge for nurses.多重用药:护士面临的挑战
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Adverse drug reaction-related hospitalizations of nursing facility patients: a 4-year study.护理机构患者药物不良反应相关住院情况:一项为期4年的研究。
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