Wilcock Michael, MacMahon Doug, Woolf Anthony
Prescribing Support Unit, c/o Pharmacy Department, Royal Cornwall Hospitals NHS Trust, Truro, TR1 3LJ, UK.
Pharm World Sci. 2005 Jun;27(3):220-2. doi: 10.1007/s11096-004-3707-9.
To study the pattern of use of medicines that may contribute to, or protect against, falls and fractures in the setting of a UK residential home population, and to compare the results with a similar study conducted in 2001.
A cross-sectional survey was conducted in 2003 in 18 residential homes. A trained community pharmacist visited the homes to retrieve information about use of medicines whilst demographic details were provided by the residential home staff.
The proportion of patients who were prescribed medicines with a potential positive benefit in preventing fractures, and medicines that may cause elderly people to fall.
The study population consisted of 581 residents. Compared to the 2001 study, the use of both calcium and vitamin D had increased significantly (8.3% versus 2.1%). Although, the overall prescribing of psychotropics in 2003 was relatively low, there was a trend for increased prescribing of these medicines which have been identified as risk factors for falling.
In a residential home setting in the UK, the use of psychotropic drugs is not uncommon, whereas there is limited use of drugs that have the potential for preventing morbidity associated with falls.
研究在英国养老院人群中，可能导致跌倒和骨折或预防跌倒和骨折的药物使用模式，并将结果与2001年进行的一项类似研究进行比较。
2003年在18家养老院进行了横断面调查。一名经过培训的社区药剂师走访这些养老院，获取药物使用信息，而养老院工作人员提供人口统计学细节。
开具具有预防骨折潜在积极益处药物的患者比例，以及可能导致老年人跌倒的药物。
研究人群包括581名居民。与2001年的研究相比，钙和维生素D的使用显著增加（8.3%对2.1%）。尽管2003年精神药物的总体处方量相对较低，但已被确定为跌倒风险因素的这些药物的处方量有增加趋势。
在英国的养老院环境中，精神药物的使用并不罕见，而具有预防跌倒相关发病潜力的药物使用有限。
