为非机构养老的老年人开具苯二氮䓬类药物。
Prescribing benzodiazepines for noninstitutionalized elderly.
作者信息
Thomson M, Smith W A
机构信息
British Columbia Ministry of Health's Research and Evaluation Branch.
出版信息
Can Fam Physician. 1995 May;41:792-8.
OBJECTIVE
To describe benzodiazepine prescribing for elderly people living in the community in British Columbia, and to compare such prescribing with an indicator of current guidelines.
DESIGN
Descriptive analysis of pharmacy billing data.
SETTING
Province of British Columbia.
PARTICIPANTS
All elderly persons (age 65 and older) dispensed benzodiazepines by community pharmacies in British Columbia during 1990.
MAIN OUTCOME MEASURE
Potentially inappropriate prescriptions were defined by a maximum 2-month limit of 20 diazepam equivalents daily, as determined by the BC Drug Usage Review Program in consultation with experts in the field. Physicians' rates of potentially inappropriate prescribing were determined per 100 benzodiazepine prescriptions written.
RESULTS
Almost 24% of elderly people in British Columbia were prescribed benzodiazepines at least once during 1990. Of these, 17.1% were given potentially inappropriate prescriptions. Physicians who prescribed benzodiazepines most frequently had the highest rates of potentially inappropriate prescriptions.
CONCLUSION
Prescribing practice does not correspond with our indicator of current guidelines.
目的
描述不列颠哥伦比亚省社区老年人群苯二氮䓬类药物的处方情况，并将此类处方与当前指南指标进行比较。
设计
药房计费数据的描述性分析。
地点
不列颠哥伦比亚省。
参与者
1990年期间在不列颠哥伦比亚省社区药房领取苯二氮䓬类药物的所有老年人（65岁及以上）。
主要观察指标
由不列颠哥伦比亚省药物使用审查计划与该领域专家协商确定，每日最大剂量为20地西泮等效剂量、最长使用期限为2个月的处方被定义为潜在不适当处方。根据开具的每100张苯二氮䓬类药物处方确定医生潜在不适当处方的比例。
结果
1990年期间，不列颠哥伦比亚省近24%的老年人至少有一次开具苯二氮䓬类药物的处方。其中，17.1%的处方为潜在不适当处方。开具苯二氮䓬类药物最频繁的医生，其潜在不适当处方的比例最高。
结论
处方行为与我们当前指南的指标不符。
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