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急诊服务所接诊老年患者的药物相关问题

Drug-Related Problems in Elderly Patients Attended to by Emergency Services.

作者信息

Ruiz-Ramos Jesús, Plaza-Diaz Adrián, Roure-I-Nuez Cristina, Fernández-Morató Jordi, González-Bueno Javier, Barrera-Puigdollers María Teresa, García-Peláez Milagros, Rudi-Sola Nuria, Blázquez-Andión Marta, San-Martin-Paniello Carla, Sampol-Mayol Caterina, Juanes-Borrego Ana

机构信息

Pharmacy Department, Hospital Santa Creu i Sant Pau, 08025 Barcelona, Spain.

Department of Medicine, Universitat Autònoma de Barcelona, 08193 Barcelona, Spain.

出版信息

J Clin Med. 2023 Dec 19;13(1):3. doi: 10.3390/jcm13010003.

Abstract

The progressive aging and comorbidities of the population have led to an increase in the number of patients with polypharmacy attended to in the emergency department. Drug-related problems (DRPs) have become a major cause of admission to these units, as well as a high rate of short-term readmissions. Anticoagulants, antibiotics, antidiabetics, and opioids have been shown to be the most common drugs involved in this issue. Inappropriate polypharmacy has been pointed out as one of the major causes of these emergency visits. Different ways of conducting chronic medication reviews at discharge, primary care coordination, and phone contact with patients at discharge have been shown to reduce new hospitalizations and new emergency room visits due to DRPs, and they are key elements for improving the quality of care provided by emergency services.

摘要

人口的老龄化进程和共病情况导致急诊科就诊的多重用药患者数量增加。药物相关问题(DRPs)已成为这些科室收治患者的主要原因,以及短期再入院率较高的原因。抗凝剂、抗生素、抗糖尿病药物和阿片类药物已被证明是涉及此问题的最常见药物。不适当的多重用药已被指出是这些急诊就诊的主要原因之一。已证明在出院时进行慢性药物审查、初级保健协调以及在出院时与患者进行电话联系等不同方式可减少因DRPs导致的新住院和新急诊室就诊,它们是提高急诊服务所提供护理质量的关键要素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfa7/10779430/8f1d307043f3/jcm-13-00003-g001.jpg

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