Charles Creaque V, Eaton Angie
Sr Care Pharm. 2020 Feb 1;35(2):68-74. doi: 10.4140/TCP.n.2019.68.
To compare the 2015 and 2019 AGS Beers Criteria of potentially inappropriate medications in the elderly.
American Geriatrics Society 2015 and 2019 Updated AGS Beers Criteria for Potentially Inappropriate Medication (PIM) Use in Older Adults published literature.
The literature was reviewed, compared, and summarized to identify pertinent changes and updates to the AGS Beers Criteria of PIMs in the elderly.
The AGS Beers Criteria contains a list of potentially inappropriate medications that should be used with caution, avoided, notable drug-drug interactions, and drugs that should be dose-adjusted based on kidney function in the older adult. The updated AGS Beers Criteria also includes removal of medications that are no longer sold in the United States, have a low usage rate, provide low evidence of harm, and/or the potential harm is not unique to the older adult.
The AGS Beers Criteria is intended to improve and optimize the care of the geriatric population. It serves as a guide to minimize older adults' exposure to PIMs whenever possible. As with previously published updates to the AGS Beers Criteria, the 2019 update outlines the following: recommendations, rationale, and quality of the recommendations, as well as the strength of the recommendations.
比较2015年和2019年美国老年医学会（AGS）关于老年人潜在不适当用药的标准。
美国老年医学会2015年和2019年更新的《老年人潜在不适当用药（PIM）使用的AGS标准》发表的文献。
对文献进行回顾、比较和总结，以确定老年人AGS关于PIM标准的相关变化和更新。
AGS标准包含一份潜在不适当药物清单，这些药物在老年人中应谨慎使用、避免使用、显著的药物相互作用，以及应根据肾功能调整剂量的药物。更新后的AGS标准还包括移除在美国不再销售、使用率低、危害证据不足和/或潜在危害并非老年人特有的药物。
AGS标准旨在改善和优化老年人群的护理。它作为一个指南，尽可能减少老年人接触PIM的机会。与之前发表的AGS标准更新一样，2019年的更新概述了以下内容：建议、理由、建议的质量以及建议的强度。
