Roughead E E, Anderson B, Gilbert A L
Sansom Institute, School of Pharmacy and Medical Sciences, University of South Australia, Adelaide, Australia.
Intern Med J. 2007 Jun;37(6):402-5. doi: 10.1111/j.1445-5994.2007.01316.x.
This study examined the extent of potentially inappropriate medicine, as defined by explicit criteria, dispensed to Australian veterans using the Repatriation Pharmaceutical Benefits Scheme Pharmacy Claims database. Twenty-one per cent of the 192,363 veterans aged 70 years, with an eligible gold card, were dispensed at least one potentially inappropriate medicine in the first 6 months of 2005. Long-acting benzodiazepines, amitriptyline, amiodarone, oxybutynin and doxepin were the medicines most commonly implicated. Strategies to support quality prescribing of medicines to the elderly must include a focus on these medicines.
本研究利用退役军人药品福利计划药房索赔数据库,调查了按照明确标准界定的、配发给澳大利亚退伍军人的潜在不适当药物的情况。在192,363名符合条件持有金卡的70岁退伍军人中,21%的人在2005年的前6个月里至少配到了一种潜在不适当药物。长效苯二氮卓类药物、阿米替林、胺碘酮、奥昔布宁和多塞平是最常涉及的药物。支持老年人合理用药的策略必须包括关注这些药物。