文章摘要
方中良,胡世莲,沈干,丁西平,殷实.基于Beers标准和STOPP/START标准评价老年消化道疾病的潜在不适当用药[J].中国临床保健杂志,2018,21(5):640-643.
基于Beers标准和STOPP/START标准评价老年消化道疾病的潜在不适当用药
The evaluation on potentially inappropriate medications in elderly patients with the digestive tract diseases by using Beers and STOPP/START criteria
投稿时间:2018-05-05  
DOI:10.3969/J.issn.1672-6790.2018.05.019
中文关键词: 潜在不当用药清单  消化系统疾病  老年人
英文关键词: Potentially inappropriate medication list  Digestive system diseases  Aged 〖FL
基金项目:中央引导地方科技发展专项专业性技术创新平台项目(2017070503B041);安徽省重点实验室绩效项目(1606c08236)
作者单位E-mail
方中良 中国科学技术大学附属第一医院安徽省立医院老年消化科,合肥 230001 fzl2009@126.com 
胡世莲 中国科学技术大学附属第一医院安徽省立医院老年消化科,合肥 230001 hushilian@163.com 
沈干 中国科学技术大学附属第一医院安徽省立医院老年消化科,合肥 230001  
丁西平 中国科学技术大学附属第一医院安徽省立医院老年消化科,合肥 230001  
殷实 中国科学技术大学附属第一医院安徽省立医院老年消化科,合肥 230001  
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中文摘要:
      目的 了解老年患者消化道疾病的潜在不恰当用药,为老年患者消化道疾病的临床用药提供借鉴。方法 提取在老年医学科住院的285例患者病历,依据Beers标准和STOPP/START 标准,对消化道疾病存在的潜在不恰当用药情况进行筛查。结果 依据Beers标准,285例患者病历中有61例(21%)存在潜在不适当用药,共计85项。按照STOPP 标准,285例患者病历中23例(8%)筛查出潜在不适当用药,共计39项;按照START 标准,筛查出16例(6%)患者病历存在处方遗漏情况,共计16项;50例(18%)患者存在Beers标准和STOPP/START标准未包括的潜在不适当用药(PIMs);影响老年消化道疾病患者发生PIMs的因素包括:年龄、疾病种类、住院时间、用药种类、日常生活能力量表评分(ADL)。结论 老年患者消化道疾病存在潜在不恰当用药,易导致PIMs的影响因素较多,使用Beers标准和STOPP/START标准对老年消化道疾病患者的用药进行评估,能有效降低PIMs发生,提高老年消化道疾病诊疗的医疗质量。
英文摘要:
      Objective To evaluate potentially inappropriate medications (PIMs) in elderly patients with digestive tract diseasesand provide amirror for clinical work in elderly patients. Methods The medical recordsof patients on geriatric medicine were collected and PIMs were evaluated by using Beers and STOPP/START criteria. Results The Beers criteria identified 85 PIMs in 21% (61) of the patients.The STOPP criteria identified 39 PIMs in 8% (23) of the patients.The START criteria identified potential prescribing omissions in 6% (16) of the patients.18%(50) of the patients identified PIMs were not included in the Beers criteria and the STOPP/START criteria.Influence factors of PIMs in elderly patients with digestive diseases include age,variety of disease,hospital stays,the amount of medication and ADL. Conclusion PIMs in elderly patients with digestive tract diseases are universal and there are many influence factors.Evaluating PIMs in elderly patients with digestive tract diseases using the Beers and STOPP/START criteria can effectively decrease medical risk and improve the quality of medical care.
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