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心血管老年重症监护人群中的多重用药:改善治疗效果

Polypharmacy in the Cardiovascular Geriatric Critical Care Population: Improving Outcomes.

作者信息

Villavaso Chloé Davidson, Williams Shavonne, Parker Tracy M

机构信息

Clinical Faculty, Tulane University School of Medicine, Heart and Vascular Institute, 1430 Tulane Avenue #8548, New Orleans, LA 70112, USA.

Texas Health Presbyterian Hospital, Dallas, TX, USA.

出版信息

Crit Care Nurs Clin North Am. 2023 Dec;35(4):505-512. doi: 10.1016/j.cnc.2023.05.012. Epub 2023 Jul 1.

Abstract

The cardiovascular geriatric population requiring intensive or critical care is a group vulnerable to adverse outcomes because of age, the critical care environment, geriatric syndromes, and multiple chronic conditions. Polypharmacy increases the risk of adverse events in this group. Several tools and aids are available to guide the clinical practice of appropriate prescribing and deprescribing. To optimize the care of the cardiovascular geriatric population, evidence-based prescribing, and deprescribing tools can be implemented by the interprofessional team consisting of the patient, their support system, critical care nurses, advanced practice clinicians, physicians, and allied health professionals.

摘要

需要重症或危重症护理的心血管老年人群是一个因年龄、重症护理环境、老年综合征和多种慢性病而容易出现不良结局的群体。多重用药增加了该群体发生不良事件的风险。有几种工具和辅助手段可用于指导适当处方和减药的临床实践。为优化心血管老年人群的护理,由患者及其支持系统、重症护理护士、高级执业临床医生、医生和相关健康专业人员组成的跨专业团队可实施基于证据的处方和减药工具。

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