2001 年和 2019 年社会养老机构中老年人的多药治疗和药物治疗情况比较。

Q4 Medicine
Ivan Bartošovič, Ivana Ivánková Bartošovičová, Katarína Zrubáková, Peter Mikus, Róbert Ochaba, Irina Goljerová
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引用次数: 0

摘要

导言多药治疗(polypharmacotherapy)是老年人中的一个严重问题。这项工作旨在比较 2001 年和 2019 年社会机构中老年人的药物治疗和多药治疗情况:截至 2001 年 12 月 31 日,我们收集了两家养老院 151 名住户(平均年龄 75.1 岁,68.9% 为女性)的药物治疗数据。我们将结果与两家养老机构截至 2019 年 10 月 31 日的住户(237 位老人,平均年龄 80.5 岁,73.4% 为女性)的药物治疗情况进行了比较。根据医疗记录,我们确定并比较了所有居民的经常使用药物、不同年龄和性别的药物使用情况、0-4 种药物、5-9 种药物、5 种或更多药物、10 种或更多药物的使用情况以及根据 ATC 分类的药物组别。统计处理采用 t 检验和卡方检验:2001 年,居民经常使用的药品总数为 891 种,18 年后,居民经常使用的药品总数为 2099 种。我们观察到,每位居民平均经常使用的药物数量大幅增加了一半以上(从 5.90 种药物增加到 8.86 种药物),女性从 6.11 种药物增加到 9.24 种药物,男性从 5.45 种药物增加到 7.81 种药物。使用多种药物(经常使用的药物≥5 种)的居民人数增加了近四分之一(从 70.2% 增加到 87.3%),而过度使用多种药物(经常使用的药物≥10 种)的老年人人数增加了 4.6 倍(从 9.3% 增加到 43.5%):我们的研究证实,18 年来,社会型养老机构中老年人使用的药物数量有所增加。结论:我们的研究结果证实,18 年来,社会类养老机构中老年人的用药数量有所增加,同时也表明,老年人,尤其是 75 岁以上的老年人和女性老年人的多药和过度多药现象呈上升趋势。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of polypharmacy and pharmacotherapy among seniors in social institutions in 2001 and 2019.

Introduction: Polypharmacy (polypharmacotherapy) is a serious problem among seniors. The aim of the work was to compare pharmacotherapy and polypharmacy among seniors in social facilities in 2001 and 2019.

Methodology: As of December 31, 2001, we collected data on the pharmacotherapy of 151 residents of two retirement homes (average age 75.1 years, 68.9% women). We compared the results with the pharmacotherapy of residents of two facilities for seniors as of October 31, 2019 (237 seniors, average age 80.5 years, 73.4% women). According to the medical records, we determined and compared the regularly used medicines of all residents, the use of medicines by age and sex, the use of 0-4 medicines, 5-9 medicines, 5 or more medicines, 10 or more medicines and the groups of medicines according to the ATC classification. For statistical processing, we used the t-test and chi-square test.

Results: In 2001, residents regularly used a total of 891 medicines, 18 years later, they used a total of 2099 medicines. We observed a significant increase in the average number of regularly used medications per resident by more than a half (from 5.90 medications to 8.86 medications), in women from 6.11 drugs to 9.24 drugs and in men from 5.45 drugs to 7.81 drugs. The number of residents with polypharmacy (regular use of ≥ 5 drugs) increased by almost a quarter (from 70.2% to 87.3%), and the number of seniors with excessive polypharmacy (regular use of ≥ 10 drugs) increased 4.6 times (from 9, 3% to 43.5%).

Conclusion: Our work confirmed that over the course of 18 years, the number of medications used by seniors in social-type institutions has increased. It also points to the trend of increasing polypharmacy and excessive polypharmacy among seniors, especially at the age of 75+ and among women.

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来源期刊
Vnitrni lekarstvi
Vnitrni lekarstvi Medicine-Internal Medicine
CiteScore
0.50
自引率
0.00%
发文量
104
期刊介绍: Vnitřní lékařství je tiskovým orgánem České internistické společnosti České lékařské společnosti Jana Evangelisty Purkyně a Slovenskej internistickej spoločnosti Slovenskej lekárskej spoločnosti. Je vydáván nepřetržitě od roku 1955. Časopis vychází jako měsíčník, tedy 12krát do roka a podle potřeby jsou v běžném ročníku vydávána jeho suplementa, která jsou obsahově zaměřena k určitému tématu. Tematicky je časopis zaměřen široce na oblast interní medicíny se zvláštní pozorností ke kardiologii, diabetologii a poruchám metabolizmu.
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