Department of General Medicine, Christchurch Hospital, Christchurch, New Zealand.
Intern Med J. 2012 Feb;42(2):208-11. doi: 10.1111/j.1445-5994.2011.02690.x.
Although polypharmacy is a major problem in the elderly, very few data have been published from Australasia. We retrospectively audited 68% of elderly patients admitted acutely to our medical unit (n= 424, mean age 80.3 ± 8 years) during a 30-day period (September, 2008). We found that long-term medications increased during hospital stay from 6.6 ± 4 to 7.7 ± 4 (P < 0.001). Adverse drug reactions were responsible for 24 admissions (5.7%). Polypharmacy is made worse by acute admission to hospital.
尽管老年人普遍存在多种用药问题,但来自澳大拉西亚地区的数据却非常有限。我们对在一个月(2008 年 9 月)期间急性入住我院内科的 424 例老年患者(平均年龄 80.3 ± 8 岁)进行了 68%的回顾性审核。我们发现,住院期间长期服用的药物从 6.6 ± 4 种增加到 7.7 ± 4 种(P < 0.001)。药物不良反应导致 24 例患者入院(5.7%)。急性入院使老年人的多种用药问题更加恶化。