Fanon Jean-Luc, Dechavigny Sandra, Dramé Moustapha, Godaert Lidvine
Service de court séjour gériatrique, Pôle de gériatrie et gérontologie, Centre hospitalier et universitaire Martinique, Fort-de-France, Martinique, France.
Université de Reims Champagne-Ardenne, Faculté de médecine, EA3797, Reims, France, Unité d'aide méthodologique, Pôle Recherche et Santé publique, Centre hospitalier et universitaire de Reims, France.
Geriatr Psychol Neuropsychiatr Vieil. 2017 Dec 1;15(4):364-368. doi: 10.1684/pnv.2017.0683.
To compare the proportion of prescriptions containing at least one inappropriate drug, as identified using three tools for optimizing drug prescriptions in the elderly. Cross-sectional, observational study based on the analysis of prescriptions of patients discharged between 1 September and 31 October 2014 in a short-stay geriatrics unit at the Louis Domergue de Trinité Hospital in Martinique (France). Each prescription was analysed using 3 tools, namely one for general medicine (Vidal © drug dictionary) and two tools specifically designed for geriatrics (the Laroche list of potentially inappropriate medications, and the STOPP-START toolkit). The number of prescriptions containing at least one inappropriate medication was recorded as evaluated with each tool. These prescriptions were then compared to investigate whether the two geriatric tools identified the same prescriptions as being inappropriate. In total, 53 prescriptions were analysed. The male-female sex ratio was 0.70. The average age of the patients was 84.5±6.2 years. Analysis according to the Vidal © drug dictionary identified the greatest number of inappropriate prescriptions (28.3% of all prescriptions). The proportion of prescriptions containing at least one inappropriate drug was lower with the two tools specific to geriatrics (11% for the Laroche list and 7.5% for the STOPP-START method). The general medicine Vidal © drug dictionary identified more inappropriate prescriptions than the tools specifically designed for geriatrics. The tools for aiding drug prescriptions in the elderly identified different drugs as being inappropriate.
比较使用三种优化老年患者药物处方的工具所识别出的含有至少一种不适当药物的处方比例。基于对2014年9月1日至10月31日在法国马提尼克岛路易·多梅尔格·德·特里尼泰医院短期老年病科出院患者处方的分析进行横断面观察性研究。每份处方使用3种工具进行分析，即一种用于普通医学的工具（维达尔©药物词典）和两种专门为老年病设计的工具（拉罗什潜在不适当药物清单以及STOPP - START工具包）。记录每种工具评估的含有至少一种不适当药物的处方数量。然后对这些处方进行比较，以调查这两种老年病工具是否识别出相同的不适当处方。总共分析了53份处方。男女比例为0.70。患者的平均年龄为84.5±6.2岁。根据维达尔©药物词典进行的分析识别出的不适当处方数量最多（占所有处方的28.3%）。两种老年病专用工具所识别出的含有至少一种不适当药物的处方比例较低（拉罗什清单为11%，STOPP - START方法为7.5%）。普通医学的维达尔©药物词典识别出的不适当处方比专门为老年病设计的工具更多。用于辅助老年患者药物处方的工具识别出不同的不适当药物。
