Gonski P N, Stathers G M, Freiman J S, Smith T
Department of Medicine, Sutherland Hospital, Sydney, New South Wales, Australia.
Drugs Aging. 1993 Jul-Aug;3(4):358-62. doi: 10.2165/00002512-199303040-00006.
Medications were examined on admission to and discharge from hospital in an elderly population. Polypharmacy was documented. Patients were discharged on more medications (4:7) than they were taking prior to admission (4.1). This was statistically significant in men (p < 0.001) but not women. Multiple medication changes were undertaken. Admission drug regimens perceived by patient, admitting hospital doctor and general practitioner were also compared. Of 64 patients who were able to name their medications, only 64% described the same list as admitting doctors and only 43% described the same list as general practitioners. Hospital doctor and general practitioner lists were the same in only 37% of cases. Communication between these 3 groups needs to be optimised.
对老年人群入院时和出院时的药物进行了检查。记录了多重用药情况。患者出院时服用的药物（4.7种）比入院前（4.1种）更多。这在男性中具有统计学意义（p < 0.001），但在女性中没有。进行了多次药物调整。还比较了患者、收治医院医生和全科医生所认知的入院药物治疗方案。在64名能够说出自己所服用药物的患者中，只有64%说出的药物清单与收治医生相同，只有43%说出的清单与全科医生相同。医院医生和全科医生的清单只有37%的情况相同。这三组之间的沟通需要优化。
