Walsh E K, Cussen K
General Practice Training Unit, Waterford Regional Hospital, Dunmore Rd, Waterford.
Ir Med J. 2010 Sep;103(8):236-8.
Multiple and inappropriate medications are often the cause for poor health status in the elderly. Medication reviews can improve prescribing. This study aimed to determine if a ten minute medication review by a general practitioner could reduce polypharmacy and inappropriate prescribing in elderly patients. A prospective, randomised study was conducted. Patients over the age of 65 (n = 50) underwent a 10-minute medication review. Inappropriate medications, dosage errors, and discrepancies between prescribed versus actual medication being consumed were recorded. A questionnaire to assess satisfaction was completed following review. The mean number of medications taken by patients was reduced (p < 0.001). A medication was stopped in 35 (70%) patients. Inappropriate medications were detected in 27 (54%) patients and reduced (p < 0.001). Dose errors were detected in 16 (32%). A high level of patient satisfaction was reported. A ten minute medication review reduces polypharmacy, improves prescribing and is associated with high levels of patient satisfaction.
多种不适当用药常常是老年人健康状况不佳的原因。用药评估有助于改善处方开具。本研究旨在确定全科医生进行的10分钟用药评估是否能减少老年患者的多重用药和不适当处方。进行了一项前瞻性随机研究。65岁以上患者（n = 50）接受了10分钟的用药评估。记录了不适当用药、剂量错误以及处方药物与实际服用药物之间的差异。评估后完成了一份满意度调查问卷。患者服用药物的平均数量减少（p < 0.001）。35名（70%）患者停用了一种药物。27名（54%）患者检测出不适当用药且有所减少（p < 0.001）。16名（32%）患者检测出剂量错误。报告显示患者满意度较高。10分钟的用药评估可减少多重用药，改善处方开具，且患者满意度较高。
