[老年人的多重用药与跌倒]

[Polypharmacy and falls in the Elderly].

作者信息

Sommeregger Ulrike, Iglseder Bernhard, Böhmdorfer Birgit, Benvenuti-Falger Ursula, Dovjak Peter, Lechleitner Monika, Otto Ronald, Roller Regina E, Gosch Markus

机构信息

Abteilung für Akutgeriatrie, Krankenhaus Hietzing mit Neurologischem Zentrum Rosenhügel, Wien, Austria.

Universitätsklinik für Geriatrie, Paracelsus Medizinische Privatuniversität, Salzburg, Austria.

出版信息

Wien Med Wochenschr. 2010 Jun;160(11-12):293-296. doi: 10.1007/s10354-010-0789-y.

DOI:10.1007/s10354-010-0789-y

PMID:20640927

Abstract

Falls and their consequences are a major problem in geriatric medicine. Main causes are the combination of age-related physiological changes with multimorbidity and subsequent polypharmacy. Elderly patients are more susceptible to adverse drug effects and have less compensatory capacity than younger adults. Therefore careful monitoring of side effects is indicated and prescribing for elderly patients calls for alertness in order to identify symptoms as possible adverse drug effects.

摘要

跌倒及其后果是老年医学中的一个主要问题。主要原因是与年龄相关的生理变化、多种疾病并存以及随后的多种药物治疗。老年患者比年轻人更容易受到药物不良反应的影响，且代偿能力更弱。因此，需要仔细监测副作用，为老年患者开处方时需要保持警惕，以便将症状识别为可能的药物不良反应。