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老年人医源性疾病:危险因素、后果和预防。

Iatrogenic disease in the elderly: risk factors, consequences, and prevention.

机构信息

Division of Urology, Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

出版信息

Clin Interv Aging. 2011;6:77-82. doi: 10.2147/CIA.S10252. Epub 2011 Mar 21.

Abstract

The epidemiology of iatrogenic disease in the elderly has not been extensively reported. Risk factors of iatrogenic disease in the elderly are drug-induced iatrogenic disease, multiple chronic diseases, multiple physicians, hospitalization, and medical or surgical procedures. Iatrogenic disease can have a great psychomotor impact and important social consequences. To identify patients at high risk is the first step in prevention as most of the iatrogenic diseases are preventable. Interventions that can prevent iatrogenic complications include specific interventions, the use of a geriatric interdisciplinary team, pharmacist consultation and acute care for the elderly units.

摘要

老年人医源性疾病的流行病学尚未得到广泛报道。老年人医源性疾病的危险因素包括药物引起的医源性疾病、多种慢性疾病、多位医生、住院治疗以及医疗或手术程序。医源性疾病可能会对精神运动产生重大影响,并产生重要的社会后果。识别高危患者是预防的第一步,因为大多数医源性疾病都是可以预防的。可以预防医源性并发症的干预措施包括特定干预措施、使用老年病多学科团队、药剂师咨询和老年人急症护理。

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