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丹麦老年人的多重用药及药物相互作用风险。一项处方数据库研究。

Polypharmacy and the risk of drug-drug interactions among Danish elderly. A prescription database study.

作者信息

Rosholm J U, Bjerrum L, Hallas J, Worm J, Gram L F

机构信息

Department of Clinical Pharmacology, IMB, Odense University Hospital.

出版信息

Dan Med Bull. 1998 Apr;45(2):210-3.

PMID:9587704
Abstract

OBJECTIVE

To analyze the use of all subsidized prescription drugs with special attention to the elderly (> or = 70 years of age), including their use of drug combination generally accepted as carrying a risk of severe interactions.

DESIGN

Descriptive prevalence study.

SETTING

Odense Pharmacoepidemiological Database, Denmark. The fourth quarter of 1994.

SUBJECTS

All inhabitants in the county of Funen, Denmark.

MAIN OUTCOME MEASURES

Prevalence of drug use for persons < 70 and > or = 70 years of age including number of drugs used and of drug combinations. Occurrence of 45 drug combinations generally accepted as carrying a risk of severe interactions.

RESULTS

Among persons less than 70 years, 67.9% used none, 16.5% used one drug and 15.6% used two or more prescription drugs. The corresponding prevalences for the elderly were 35.7%, 15.9% and 48.4%. The 26,337 elderly patients with at least two drugs used 21,293 different combinations. Of the elderly patients who had purchased > or = two drugs, 4.4% had combinations of drugs carrying a risk of severe interactions.

CONCLUSIONS

Most elderly use drugs and usually several drugs concomitantly. The elderly form a heterogeneous group of drug users. Drug combinations carrying a risk of severe interactions are relatively frequent.

摘要

目的

分析所有补贴处方药的使用情况,特别关注老年人(≥70岁),包括他们使用通常被认为有严重相互作用风险的药物组合的情况。

设计

描述性患病率研究。

地点

丹麦欧登塞药物流行病学数据库。1994年第四季度。

研究对象

丹麦菲英岛县的所有居民。

主要观察指标

年龄<70岁和≥70岁人群的药物使用患病率,包括使用药物的数量和药物组合情况。45种通常被认为有严重相互作用风险的药物组合的出现情况。

结果

在70岁以下人群中,67.9%未使用任何药物,16.5%使用一种药物,15.6%使用两种或更多种处方药。老年人的相应患病率分别为35.7%、15.9%和48.4%。26337名至少使用两种药物的老年患者使用了21293种不同的组合。在购买了≥两种药物的老年患者中,4.4%的患者使用了有严重相互作用风险的药物组合。

结论

大多数老年人使用药物,通常同时使用几种药物。老年人是一个用药情况各异的群体。有严重相互作用风险的药物组合相对常见。

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