解放军医学院学报2026，Vol.47Issue(5)：557-562,封3,7.DOI:10.12435/j.issn.2095-5227.26010703
老年患者潜在不适当用药的评估和干预进展
Assessment and intervention advances for potentially inappropriate medications in older adults
摘要
Abstract
Potentially inappropriate medications(PIM)refer to drugs whose expected risks outweigh their clinical benefits.They represent a significant risk factor for falls,frailty,rehospitalization,and mortality in older adults and have thus become a research focus in the field of polypharmacy management.Based on recent domestic and international research advances,this article systematically reviews the assessment tools and intervention strategies for PIM.In terms of assessment,a comparative analysis is conducted on three major tools:the internationally recognized American Geriatrics Society Beers Criteria,the screening tool of older persons'prescriptions(STOPP)/screening tool to alert to right treatment(START)criteria,and the Chinese PIM criteria.Regarding interventions,the strategies of deprescribing,the multidisciplinary team collaboration model,and innovative artificial intelligence-supported interventions are elaborated.The article further discusses the effectiveness and challenges of these strategies in clinical practice,aiming to provide a reference for improving rational medication use in older patients.关键词
潜在不适当用药/老年医学/处方精简/人工智能/临床决策支持系统Key words
potentially inappropriate medication/geriatrics/deprescription/artificial intelligence/clinical decision support systems分类
医药卫生引用本文复制引用
陈园园,高远,杜辉,霍霞,邵梦琪,祁佩瑶,徐艳荣,皮红英..老年患者潜在不适当用药的评估和干预进展[J].解放军医学院学报,2026,47(5):557-562,封3,7.基金项目
国家重点研发计划(2023YFC3603905) （2023YFC3603905）
