中国药房2016,Vol.27Issue(23):3212-3214,3.DOI:10.6039/j.issn.1001-0408.2016.23.15
Beers标准联合STOPP/START准则评价我院内科老年住院患者潜在不适当用药
Evaluation of Potentially Inappropriate Medication among Elderly Inpatients in Internal Medicine Depart-ment of Our Hospital by Beers Criteria and STOPP/START Criteria
周海峰 1沈杰 1纪芳 1张云轩 1张敏1
作者信息
- 1. 复旦大学附属华东医院药剂科,上海 200040
- 折叠
摘要
Abstract
OBJECTIVE:To improve rational drug use and reduce potentially inappropriate medication (PIM). METHODS:PIM of 700 elderly inpatients in internal medicine department of our hospital was evaluated by Beers criteria(2012 edition)and STOPP/START criteria. RESULTS:700 inpatients whose mean ages were (76.3 ± 7.2) years old took (12.1 ± 4.9) kinds of drugs per patient. 144 cases involved PIM(20.6%). The number of PIM was 220 in total,among which there were 117 cases/times relat-ed to drugs and 22 cases/times related to disease in according to Beers criteria,9 cases/times of STOPP and 72 cases/times of START. Drug with most frequency of PIM in accordance with Beers was benzodiazepines and most frequency in STOPP was thia-zides that used by patients with gout histonry. The most omission frequency of START prescription were absence of metformin thera-py for type 2 diabetes and absence of antiplatelet therapy for diabetes complicated with cardiovascular risk. CONCLUSIONS:A high prevalence of PIM in elderly inpatients in our hospital requires various measures to prevent its occurrence.关键词
Beers标准/STOPP/START准则/老年患者/潜在不适当用药Key words
Beers criteria/STOPP/START criteria/Elderly patients/Potentially inappropriate medication分类
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周海峰,沈杰,纪芳,张云轩,张敏..Beers标准联合STOPP/START准则评价我院内科老年住院患者潜在不适当用药[J].中国药房,2016,27(23):3212-3214,3.