[Experience of applying updated STOPP/START criteria in gerontopsychiatric practice.]

Q4 Medicine
E G Korneeva, O O Kirilochev, A G Soloviev, E Y Golubeva
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引用次数: 0

Abstract

The aim of this study was to assess the frequency of polypharmacy, prescribing of potentially inappropriate medication (STOPP criteria), and potential prescribing omissions (START criteria) in 56 elderly psychiatric inpatients. The analysis of prevalence was conducted using the STOPP/START version 3 criteria, and the degree of anticholinergic burden was assessed using the Anticholinergic Cognitive Burden Scale. Polypharmacy was observed in 67.86% of patients, 75 prescriptions of potentially inappropriate medications and 156 cases of potential prescribing omissions were identified. The highest frequency was observed for STOPP criteria related to the use of medications with anticholinergic properties. The median anticholinergic burden score was 2.5 [0.0; 6.0]. The START criteria with the highest frequency were related to recommendations for pharmacotherapy of comorbid somatic conditions, mainly the prescription of statins and antiplatelet agents in patients with vascular diseases. The study demonstrated a moderate frequency of STOPP criteria and a high frequency of START criteria. The application of the updated STOPP/START criteria in psychiatric care should contribute to improving the effectiveness and safety of pharmacotherapy.

[在老年精神病学实践中应用最新STOPP/START标准的经验]
本研究的目的是评估56例老年精神科住院患者的多药、潜在不适当药物处方(STOPP标准)和潜在处方遗漏(START标准)的频率。采用STOPP/START版本3标准进行患病率分析,使用抗胆碱能认知负担量表评估抗胆碱能负担程度。67.86%的患者存在多药现象,发现75例处方可能不合适,156例处方可能遗漏。与使用具有抗胆碱能特性的药物相关的STOPP标准中观察到的频率最高。抗胆碱能负荷评分中位数为2.5 [0.0];6.0]。频率最高的START标准与合并症躯体疾病的药物治疗建议有关,主要是血管疾病患者的他汀类药物和抗血小板药物的处方。研究表明,STOPP标准出现的频率适中,START标准出现的频率较高。在精神科护理中应用最新的STOPP/START标准应有助于提高药物治疗的有效性和安全性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
0.50
自引率
0.00%
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131
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