Analysis on potentially inappropriate medication of 2 000 cases of elderly diabetic patients in the out-patient department
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摘要: 目的 回顾性评价温州市中心医院门诊老年糖尿病患者潜在不适当用药(potentially inappropriate medication, PIM)情况。 方法 以Beers判断标准(2012版)为依据,对我院2 000例≥60岁老年糖尿病患者的处方进行评价,分析老年糖尿病患者PIM情况。 结果 患者平均年龄76岁,平均用药数量4种,172例(8.60%)存在与药物相关的PIM,17例(0.85%)存在与疾病状态相关的PIM,23例(1.15%)存在老年患者需慎用的药物。 结论 老年糖尿病患者PIM发生率高,应引起临床重视,以保证老年糖尿病患者合理用药。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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