基层医疗中针对老年患者使用START/STOPP标准。
The use of START/STOPP criteria for elderly patients in primary care.
作者信息
Yayla Muhteşem Erol, Bilge Uğur, Binen Elif, Keskin Ahmet
机构信息
Afyon 5th Primary Care Center, Turkey.
出版信息
ScientificWorldJournal. 2013 Jun 12;2013:165873. doi: 10.1155/2013/165873. Print 2013.
Abstract
AIM
Our aim was to detect older patients who were prescribed inappropriate drugs according to START/STOPP criteria in primary care.
MATERIALS AND METHOD
Patients aged over 65, admitted to health center no. 5 in Afyon, were included. The files of the subjects were surveyed retrospectively for the final one year in the digital environment, using the Family Medicine Information System. The files surveyed allowed us to list the drugs they used in the past year and to detect inappropriate drug use.
RESULTS
The number of patients that took part in this study was 325 (average age: 73.23 ± 6.44 years). We found that, among these participants, 48 patients (14.8%) were using drugs inappropriately according to STOPP criteria.
CONCLUSION
Further focus on avoiding inappropriate drug use will allow clinicians and other health professionals to reduce side effects and other complications. In patients aged over 65, there is a need to attach particular importance to inappropriate drug use, drug interactions, and avoidance of side effects.
摘要
目的
我们的目的是在初级医疗保健中，根据START/STOPP标准检测出被开具不适当药物的老年患者。
材料与方法
纳入了阿菲永第5健康中心收治的65岁以上患者。利用家庭医学信息系统，在数字环境中对这些受试者的档案进行了为期一年的回顾性调查。所调查的档案使我们能够列出他们在过去一年中使用的药物，并检测出不适当的药物使用情况。
结果
参与本研究的患者有325名（平均年龄：73.23±6.44岁）。我们发现，在这些参与者中，有48名患者（14.8%）根据STOPP标准正在不恰当地使用药物。
结论
进一步关注避免不适当的药物使用，将使临床医生和其他卫生专业人员减少副作用和其他并发症。对于65岁以上的患者，需要特别重视不适当的药物使用、药物相互作用以及副作用的避免。
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