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首页> 外文期刊>BMC research notes >Medical characteristics of the oldest old: retrospective chart review of patients aged 85+ in an academic primary care centre
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Medical characteristics of the oldest old: retrospective chart review of patients aged 85+ in an academic primary care centre

机译：高龄老人的医学特征：学术初级保健中心对85岁以上患者的回顾性图表回顾

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Background The population aged 85?+???the “oldest old” – is now the fastest growing age segment in Canada. Although existing research demonstrates high health services utilization and medication burden in this population, little clinically derived evidence is available to guide care. This is a descriptive study in a primary care context seeking to describe the most common health conditions and medications used in the “oldest old”. Methods We conducted a retrospective chart review of all family practice patients aged 85+ (N?=?564; 209 males, 355 females) at Sunnybrook Health Sciences Centre in Toronto, Canada. Electronic medical records were reviewed for all current chronic conditions and medication prescriptions, and then stratified by sex and age subgroup (85–89, 90–94, 95+) for descriptive analysis. Results On average, patients experienced 6.4 concurrent chronic conditions and took 6.8 medications. Most conditions were related to cardiovascular (79%) and bone health (65%). Hypertension (65%) was the most common condition. Bone-related conditions (e.g. osteoarthritis, osteoporosis) and hypothyroidism predominantly affected women, while coronary artery disease and type 2 diabetes were more prevalent in men. The top two prescribed medications were atorvastatin (33%) and aspirin 81?mg (33%). Males were more likely to be prescribed lipid-lowering medications, while females were more likely to receive osteoporosis therapy. Patients received less lipid-lowering therapy with increasing age. Conclusions Multimorbidity and polypharmacy are highly prevalent in patients in the 85+ age group. The most common clinical conditions are related to cardiovascular and bone health, and the most commonly prescribed medications are directed towards risk factors for these illnesses. In the absence of data to guide clinical decision-making, this study provides a first look at the common health concerns and medication profiles in this population and reveals trends that give rise to reflections on how clinical care for these patients can be improved.
机译：背景信息85岁以上的人口+“最老的年龄” –现在是加拿大增长最快的年龄段。尽管现有研究表明该人群的医疗服务利用率高和药物负担大，但很少有临床证据可用于指导护理。这是在基层医疗机构中进行的描述性研究，旨在描述“最老的老年人”中最常见的健康状况和药物。方法我们对加拿大多伦多桑尼布鲁克健康科学中心的所有年龄在85岁以上（N？=？564; 209位男性，355位女性）的家庭实践患者进行了回顾性图表回顾。审查电子病历以了解所有当前的慢性病和药物处方，然后按性别和年龄分组（85-89、90-94、95 +）进行分层，以进行描述性分析。结果平均而言，患者同时患有6.4例慢性病并服用6.8种药物。大多数情况与心血管（79％）和骨骼健康（65％）有关。高血压（65％）是最常见的疾病。骨相关疾病（例如骨关节炎，骨质疏松症）和甲状腺功能减退主要影响女性，而男性冠状动脉疾病和2型糖尿病更为普遍。前两种处方药分别是阿托伐他汀（33％）和阿司匹林81？mg（33％）。男性更有可能使用降脂药，而女性则更有可能接受骨质疏松症治疗。随着年龄的增长，患者接受较少的降脂治疗。结论在85岁以上年龄段的人群中，多发病和多药治疗非常普遍。最常见的临床状况与心血管和骨骼健康有关，最常用的处方药物针对这些疾病的危险因素。在缺乏指导临床决策的数据的情况下，本研究提供了该人群常见的健康问题和用药情况的初步信息，并揭示了趋势，这些趋势引起了人们对如何改善这些患者的临床护理的思考。

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