Analysis on potentially inappropriate medication of 2 000 cases of elderly diabetic patients in the out-patient department

LIN Jie; CHEN Lingdi; SU Yinfa

doi:10.3969/j.issn.1006-0111.2015.05.026

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Objective To evaluate potentially inappropriate medication(PIM) use of elderly diabetic patients in the out-patient department. Methods Beers criteria (2012 Edition) was used as the basis for evaluation of prescription in 2 000 elderly diabetic cases of our hospital (≥60 years old) with analysis of PIM use. Results There were on the average of 4 kinds of drugs per patient (mean age 76 year-old). 172 cases (8.60%) of the 2 000 cases were related to PIM dependent on medication use. 17 (0.85%) cases were related to PIM dependent on disease conditions. 23 (1.15%) cases were related to PIM with caution in elder adults. Conclusion It was indicated a high prevalence of PIM by elderly diabetic patients. Given the potential severity of this problem, further steps need to be implemented to prevent this occurrence.

Analysis on potentially inappropriate medication of 2 000 cases of elderly diabetic patients in the out-patient department

Department of Pharmacy, Wenzhou Central Hospital, Wenzhou 325000, China

Received Date: 2014-09-05

Rev Recd Date: 2015-01-07

Key words:

Beers criteria /
elderly patients /
potentially inappropriate medication use

Abstract: Objective To evaluate potentially inappropriate medication(PIM) use of elderly diabetic patients in the out-patient department. Methods Beers criteria (2012 Edition) was used as the basis for evaluation of prescription in 2 000 elderly diabetic cases of our hospital (≥60 years old) with analysis of PIM use. Results There were on the average of 4 kinds of drugs per patient (mean age 76 year-old). 172 cases (8.60%) of the 2 000 cases were related to PIM dependent on medication use. 17 (0.85%) cases were related to PIM dependent on disease conditions. 23 (1.15%) cases were related to PIM with caution in elder adults. Conclusion It was indicated a high prevalence of PIM by elderly diabetic patients. Given the potential severity of this problem, further steps need to be implemented to prevent this occurrence.

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Reference (7)

[1]	唐恩华.糖尿病患者应用胰岛素治疗的健康指导[J].中华现代护理学杂志,2005,2(3):274-275.
[2]	王烨,李影影,蔡郁.Beers标准回顾性评价老年住院患者存在的潜在不适当用药[J].实用药物与临床,2013, 16(9):874-875.
[3]	American Geriatrics Society 2012 Beers criteria update expert Panel. American Geriatrics Society updated Beers criteria for potentially inappropriate medication use in older adults [J].J Am Geriatr Soc, 2012, 60(4):616-631.
[4]	Beers MH, Ouslander JG, Rollingher I, et al. Explicit criteria for determining inappropriate medication use in nursing home residents [J].Arch Intern Med, 1991, 151(9):1825-1832.
[5]	张彩华,朱宏霞,瞿杨,等.中枢神经系统药物对老年患者跌倒的影响及护理措施[J].上海护理,2009,9(6):5-7.
[6]	于华众,李章平,吴朝明,等.服用二甲双胍的糖尿病患者乳酸酸中毒的特点分析[J].实用医学杂志,2006,22(7):804-805.
[7]	高晓空.由老年人用药现状及药代动力学特点浅谈老年人合理用药[J].黑龙江医药,2013,26(4):635-636.

[1]	唐恩华.糖尿病患者应用胰岛素治疗的健康指导[J].中华现代护理学杂志,2005,2(3):274-275.
[2]	王烨,李影影,蔡郁.Beers标准回顾性评价老年住院患者存在的潜在不适当用药[J].实用药物与临床,2013, 16(9):874-875.
[3]	American Geriatrics Society 2012 Beers criteria update expert Panel. American Geriatrics Society updated Beers criteria for potentially inappropriate medication use in older adults [J].J Am Geriatr Soc, 2012, 60(4):616-631.
[4]	Beers MH, Ouslander JG, Rollingher I, et al. Explicit criteria for determining inappropriate medication use in nursing home residents [J].Arch Intern Med, 1991, 151(9):1825-1832.
[5]	张彩华,朱宏霞,瞿杨,等.中枢神经系统药物对老年患者跌倒的影响及护理措施[J].上海护理,2009,9(6):5-7.
[6]	于华众,李章平,吴朝明,等.服用二甲双胍的糖尿病患者乳酸酸中毒的特点分析[J].实用医学杂志,2006,22(7):804-805.
[7]	高晓空.由老年人用药现状及药代动力学特点浅谈老年人合理用药[J].黑龙江医药,2013,26(4):635-636.

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Analysis on potentially inappropriate medication of 2 000 cases of elderly diabetic patients in the out-patient department

doi: 10.3969/j.issn.1006-0111.2015.05.026

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