针对转诊至老年病科的老年人群，由全科医生进行药物报告的前瞻性研究。
Prospective study of drug reporting by general practitioners for an elderly population referred to a geriatric service.
作者信息
Gilchrist W J, Lee Y C, Tam H C, Macdonald J B, Williams B O
出版信息
Br Med J (Clin Res Ed). 1987 Jan 31;294(6567):289-90. doi: 10.1136/bmj.294.6567.289.
Abstract
A prospective study was carried out in which the drug history of patients which was provided by general practitioners was compared with the drugs found by geriatricians in patients' homes in 700 referrals to geriatricians. Drug compliance was not assessed. The drug history appeared to be accurate in one third of referrals. Underreporting of medication was common and increased as the number of prescribed drugs increased. Roughly one fifth of patients had at least one potential drug interaction. Keeping careful prescription records, regular review, and accurate reporting of medication should reduce drug associated morbidity in elderly patients.
摘要
开展了一项前瞻性研究，将全科医生提供的患者用药史与老年病科医生在700例转诊至老年病科的患者家中发现的药物进行了比较。未评估药物依从性。在三分之一的转诊病例中，用药史似乎是准确的。漏报用药情况很常见，且随着处方药数量的增加而增多。约五分之一的患者至少有一种潜在的药物相互作用。认真保存处方记录、定期复查以及准确报告用药情况应能降低老年患者的药物相关发病率。
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