美国疗养院居民的用药模式。现实与展望。

Prescribing patterns for nursing home residents in the US. The reality and the vision.

作者信息

Broderick E

机构信息

Hebrew Rehabilitation Center for Aged, Boston, Massachusetts, USA.

出版信息

Drugs Aging. 1997 Oct;11(4):255-60. doi: 10.2165/00002512-199711040-00001.

DOI:10.2165/00002512-199711040-00001

PMID:9342555

Abstract

The study of prescribing for the elderly in the US is in its infancy. Nursing home studies provide some of the most reliable data. In US nursing homes, each resident is prescribed an average of between 7.2 and 8.1 medications, with gastrointestinal agents being the most frequent. The vision for prescribing in the US involves avoidance of polypharmacy and specific groups of medications. Approaches to treatment in the US for certain conditions that can be prevented are addressed, specifically pain control, osteoporosis, stroke, cardiovascular disease, cognitive impairment and infection.

摘要

美国针对老年人用药的研究尚处于起步阶段。养老院研究提供了一些最可靠的数据。在美国的养老院中，每位居民平均被开出7.2至8.1种药物，其中胃肠道药物最为常见。美国用药的目标包括避免多重用药以及特定类别的药物。文中探讨了美国针对某些可预防病症的治疗方法，特别是疼痛控制、骨质疏松症、中风、心血管疾病、认知障碍和感染。