• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Clinical Pharmacy and Therapeutics >Appropriate prescribing in the elderly: an investigation of two screening tools, Beers criteria considering diagnosis and independent of diagnosis and improved prescribing in the elderly tool to identify inappropriate use of medicines in the elderly in primary care in Ireland.
【24h】

Appropriate prescribing in the elderly: an investigation of two screening tools, Beers criteria considering diagnosis and independent of diagnosis and improved prescribing in the elderly tool to identify inappropriate use of medicines in the elderly in primary care in Ireland.

机译：老年人的适当处方：对两种筛查工具的调查，即考虑诊断和独立于诊断的比尔斯准则以及改进的老年人处方，以识别爱尔兰初级保健中老年人的药物使用不当。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Elderly patients are particularly vulnerable to inappropriate prescribing, with increased risk of adverse drug reactions and consequently higher rates of morbidity and mortality. A large proportion of inappropriate prescribing is preventable by adherence to prescribing guidelines, suitable monitoring and regular medication review. As a result, screening tools have been developed to help clinicians improve their prescribing. OBJECTIVES: To compare identification rates of inappropriate prescribing in elderly patients in primary care using two validated screening tools: Beers' criteria and improved prescribing in the elderly tool (IPET); to calculate the net ingredient cost (NIC) per month (euro) of the potentially inappropriate medicines in this population of patients. METHOD: A consecutive cohort of 500 patients 65 years of age and over were recruited prospectively from primary care over a 6 month period in a provincial town in Ireland. Patients' medical records (electronic and paper) were screened and all relevant information concerning current illnesses and medications was recorded on a standardized data collection form to which Beers' criteria [considering diagnosis (CD) and independent of diagnosis (ID)] and IPET tools were applied. The NIC was calculated from an edition of the Irish monthly index of medical specialities published concurrently with the data collection. RESULTS: Beers' criteria identified a total of 69 medicines that were prescribed inappropriately (eight CD and 61 ID) in 65 patients (13%), costing euro824.88 per month while IPET identified 63 potentially inappropriate medicines in 52 (10.4%) patients costing euro381.28 per month. CONCLUSIONS: Potentially inappropriate medications are prescribed in a significant proportion of elderly people in primary care, with significant economic implications.
机译：背景：老年患者特别容易受到不适当处方的影响，药物不良反应的风险增加，因此发病率和死亡率较高。遵守处方指南，适当的监测和定期用药复查，可以预防大部分不适当的处方。结果，开发了筛选工具来帮助临床医生改善处方。目的：使用两种经过验证的筛查工具，比较初级保健中老年患者处方不当的鉴别率：比尔斯标准和老年人处方改进（IPET）;计算该患者群体中潜在不当药物的每月净成分成本（NIC）（欧元）。方法：在爱尔兰的一个省级城镇，在六个月的时间里，从初级保健中连续招募了500名65岁以上的患者。筛选患者的病历（电子和纸质），并将有关当前疾病和药物的所有相关信息记录在标准化的数据收集表上，Beers的标准[考虑诊断（CD），独立于诊断（ID）]和IPET工具被应用。 NIC是根据与数据收集同时发布的爱尔兰医学专业月度指数的一个版本计算得出的。结果：比尔斯的标准确定了65例患者（13％）中总共开出了69种处方不当的药物（8种CD和61种ID），每月费用为824.88欧元，而IPET在52例患者中发现了63种潜在的不当药物（10.4％）每月的费用为381.28欧元。结论：相当大比例的基层老年人处方了可能不适当的药物，对经济产生了重大影响。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号