老年患者潜在性不适当用药评价工具Beers量表(2015版)简介
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篇名: 老年患者潜在性不适当用药评价工具Beers量表(2015版)简介
TITLE:
摘要: 目的:对老年患者潜在性不适当用药评价工具——Beers量表(2015版)进行介绍,为我国Beers标准的更新,及老年患者合理用药标准的制定、实施和应用提供借鉴。方法:对美国老年医学会发布的2015版Beers标准与2012版Beers标准的制定方法、所含目录以及目录内容进行对比分析。结果:2015版Beers标准的制定仍然沿用了2012版Beers标准的德尔菲法。但新增了2个目录:老年患者应该避免的药物-药物相互作用目录和老年患者中应该根据肾功能减量/避免的药物目录,并删除了原有3个目录中一些争议较大的药物,纳入了新的老年患者应该避免使用的药物。结论:在目前缺乏老年患者潜在性不适当用药金指标的情况下,Beers量表依然是保障老年患者合理用药的有力工具。但是否适用于我国老年患者,还应当根据我国医师的处方习惯及患者的具体情况而定。
ABSTRACT: OBJECTIVE: To introduce Beers scale (2015 edition) for potentially inappropriate medication (PIM) evaluation in elderly patients, in order to update Beers criteria in China and provide reference for the formulation, implementation and application of rational drug use standard for elderly patients in China. METHODS: Beers criteria (2015 edition) issued by American Geriatrics Society (AGS) was compared with Beers criteria (2012 edition) in respects of formulation method, catalog and items. RESULTS: Like Beers criteria (2012 edition), Delphi method was used to formulate Beers criteria (2015 edition). Two catalogs were added: drug-drug interaction catalog which elderly patients should avoid, and renal function-based reduction/avoidance catalog. Some controversial drugs were excluded from previous 3 catalogs, and other drugs which elderly patients should avoid were included.  CONCLUSIONS: With the absence of PIM golden criteria for elderly patients, Beers scale is still a powerful tool to ensure the rational drug use in elderly patients. Whether it is suitable for elderly patients in China, it should be based on the doctor’s prescription habits and the specific circumstances of the patients.
期刊: 2017年第28卷第2期
作者: 李虹,蒲诗云,黄鑫,莫莉,何金汗
AUTHORS: LI Hong,PU Shiyun,HUANG Xin,MO Li,HE Jinhan
关键字: 老年患者;潜在性不适当用药;Beers量表;2015版;合理用药
KEYWORDS: Elderly patients; Potentially inappropriate medication; Beers scale; 2015 edition; Rational drug use
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