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| 两种标准评估心内科老年住院患者潜在不适当用药 |
| Comparison of two criteria for potentially inappropriate medication of elderly adults in our hospital |
| 投稿时间：2019-09-05 修订日期：2020-06-15 |
| DOI： |
| 中文关键词: Beers标准 中国PIM判断标准 老年人 住院患者 潜在不适当用药 |
| 英文关键词: Beers criteria Chinese PIM judgment criteria elderly inpatient Potentially inappropriate medication |
| 基金项目:北京自然科学基金(7174308) |
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| 中文摘要: |
| 目的 采用2015版Beers标准、《中国老年人潜在不适当用药判断标准》(简称“中国标准”)分析我院心内科老年住院患者潜在不适当用药(PIM)的发生情况。方法 将我院心内科2018年1月至3月年龄≥65岁的住院患者纳入本研究。收集患者年龄、性别、巴氏量表评分、临床诊断、住院医嘱、住院天数、药品费用、总费用等基本信息。分别采用上述两种标准审查老年住院患者的PIM,并应用Logistic回归分析PIM的相关危险因素。结果 共纳入661例患者,男性350例,女性311例,平均年龄73.86±6.55岁,平均用药数量10.17±4.01种,住院时间3-30天,诊断数量1-17种。采用Beers标准判定387例(58.54%)患者存在至少一种PIM；采用中国标准判定542例(82.00%)患者存在至少一种PIM。Logistic回归结果显示用药数量在两个标准中都是危险因素。结论 采用Beers标准与中国标准可判断更多PIM,临床决策时联用两种标准可降低PIM发生率。 |
| 英文摘要: |
| Objective To analyze the prevalence of potentially inappropriate medications of elderly inpatient in our hospital using the Beers criteria of 2015 and the criteria of PIM for elderly adults in China (Chinese criteria). Method The patients ≥ 65 years old at Heart Center from January to March 2018 were included in this study.The patients" basic information age,sex,barthel index,clinical diagnose,medication orders,length of stay,drug cost and total cost.The Beers criteria of 2015 and the Chinese criteria were used to evaluate the PIM in inpatient and logistic regression analysis was used to analyze related factors of PIM occurrence. Result A total of 661 patients were enrolled into the study,including 350 males and 311females,the mean age of (73.86±6.55) years,the average number of drug was (10.17±4.01) kinds,the hospitalization time was 3-30 days,the number of clinical diagnosis was 1 to 17 kinds. 387 patients were prescribed at least one PIM by the Beers criteria,542 patients were prescribed at least one PIM by the Chinese criteria.The number of medicines were risk factors of PIM occurrence in both of the criteria.Conclusion More PIM cases can identify by the Beers criteria and Chinese criteria,and the combination of the two criteria can reduce the incidence of PIM in making clinical decision. |
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