Beers标准和STOPP/START标准再评价老年住院患者医嘱点评情况  

Reevaluation of the Prescriptions Comment of Hospitalized Elder Patients Using Beers and STOPP/START Criteria

作　　者：李影影[1] 邢玉晶[1] 王烨[1] 孙艳萍[1] 李珍[1] 蔡郁[1] 

机构地区：[1]北京老年医院药剂科,北京100095

出　　处：《药学与临床研究》2016年第1期57-60,共4页Pharmaceutical and Clinical Research

摘　　要：目的 探讨Beers标准、STOPP/START标准两种方法在对我院老年住院患者医嘱点评进行再评价中筛查出的潜在不适当用药情况, 为老年患者合理用药提供参考.方法： 选取2013年3月-2015年2月医嘱点评的549份老年患者病历, 分别以Beers标准、STOPP/START标准为依据,判断老年患者潜在不适当用药情况.结果：549份老年住院患者平均年龄为（77±7）岁,平均用药品种数（15±7）种.依照Beers标准,99例（18%）存在潜在不适当用药现象共104项;依照STOPP/START标准,104例（19%）存在潜在不适当用药现象共111项;155例（29%）存在处方遗漏现象共232项.结论：以Beers标准和STOPP/START标准可以筛查出大量老年住院患者潜在不适当用药情况,且两种标准筛查出的潜在不适当用药情况重复内容很少,可以形成互补对临床处方考量,促进老年人合理用药.Objective: To measure the potentially inappropriate medications in hospitalized elderly patients using Beers and STOPP/START criteria. Methods: Case records of 549 elderly patients from Beijing Geriatric Hospital, whose prescriptions had been commented from March 2014 to February 2015, were studied. Potentially inappropriate medications were identified using Beers and STOPP/START criteria. Results: The mean age of the patients was 77±7 years, median number of medicines per patient was 10±7.The Beers criteria identified 104 potentially inappropriate prescriptions in 18%(99) of the patients. The STOPP criteria identified 111 potentially inappropriate prescriptions in 19%(104) of the patients and a total of 232 potential prescribing omissions were identified in 29%(155) of the patients using the START tool. Conclusion: Potentially inappropriate prescribing and drug omission are highly detectable in hospitalized elderly patients by using the Beers and STOPP/START criteria, which are duplicated rarely, so the two criteria are complementary and can be taken as reference to the comment of clinical prescriptions in order to promote the rational use of drugs in old age.

关 键 词：老年患者 潜在不适当用药 Beers标准 STOPP/START标准 

分 类 号：R969.3[医药卫生—药理学]