Haagsma C J, Gribnau F W, Bruyns E
Ned Tijdschr Geneeskd. 1989 Nov 25;133(47):2341-4.
Admission to a geriatric department of a general hospital of 100 elderly patients admitted in succession, resulted in a slight decrease in number of the prescribed medication. The data were gathered retrospectively. Cardiovascular drugs accounted for the main decrease, sedatives and laxatives showed the highest increase. The use of diuretics is significantly associated with dehydration; 43% of the users of diuretics were dehydrated. The most striking conclusion was that 25% of the prescriptions could be stopped for lack of indication.
一家综合医院老年科连续收治了100名老年患者,结果处方药物数量略有减少。数据是回顾性收集的。心血管药物减少幅度最大,镇静剂和泻药增加幅度最大。利尿剂的使用与脱水显著相关;43%的利尿剂使用者出现脱水。最引人注目的结论是,25%的处方因缺乏用药指征可以停用。