Delgado-Silveira Eva, Mateos-Nozal Jesús, Muñoz García Maria, Rexach Cano Lourdes, Vélez-Díaz-Pallarés Manuel, Albeniz López Jana, Cruz-Jentoft Alfonso José
Servicio de Farmacia, Hospital Universitario Ramón y Cajal, Madrid, España.
Servicio de Geriatría (IRYCIS), Hospital Universitario Ramón y Cajal, Madrid, España.
Rev Esp Geriatr Gerontol. 2019 May-Jun;54(3):151-155. doi: 10.1016/j.regg.2018.11.008. Epub 2018 Dec 31.
Multiple medication and inappropriate drug prescription are prevalent and challenging problems in older patients in end-of-life situations, and increases both preventable adverse events and health care costs. Recent literature recommends de-prescribing some drugs in patients with short life expectancy, when the aim of drug treatments is not prevention or cure, but symptom control. Recently, a list of explicit criteria (STOPP-Frail) intended to guide prescribing physicians in decision making on the use of drugs in older patients with terminal conditions. This article presents a Spanish version of such criteria, which have been named STOPP-Pal to avoid confusion with the current concept of frailty.
在临终阶段的老年患者中,多种药物治疗和不恰当的药物处方是普遍且具有挑战性的问题,这会增加可预防的不良事件和医疗保健成本。最近的文献建议,对于预期寿命较短的患者,当药物治疗的目的不是预防或治愈而是症状控制时,应停用某些药物。最近,出现了一份明确的标准清单(STOPP-Frail),旨在指导开处方的医生对患有晚期疾病的老年患者用药进行决策。本文介绍了该标准的西班牙语版本,将其命名为STOPP-Pal,以避免与当前的衰弱概念混淆。