Explicit criteria for determining potentially inappropriate medication use by the elderly. An update.
Explicit criteria for determining potentially inappropriate medication use by the elderly. An update.
复制标题
确定老年人潜在不当用药的明确标准。
DOI：
10.1001/archinte.1997.00440350031003
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发表时间：
1997
影响因子：
--
通讯作者：
M. Beers
中科院分区：
文献类型：
--
作者：
M. Beers
这项研究更新和扩展了明确的标准，定义了老年人可能不适当的药物使用。其他目标是解决不良后果是否可能在临床上严重，并在可用的情况下纳入诊断的临床信息。这些标准旨在服务于流行病学研究、药物利用审查系统、卫生保健提供者和教育工作。寻求由6名国家公认的专家组成的小组就老年人的适当用药问题达成共识。专家小组商定了28项标准以及35项标准的有效性，其中28项标准描述了一般老年人可能不适当地使用药物的情况，35项标准界定了已知患有15种常见疾病的老年人可能不适当地使用药物。更新、扩展和更普遍适用的标准现在可用于帮助识别老年人口中不适当的药物使用。这些标准规定了在非卧床老年人中一般应避免服用的药物，一般不应超过的给药剂量或次数，以及对已知患有几种常见疾病的老年人应避免使用的药物。
This study updates and expands explicit criteria defining potentially inappropriate medication use by the elderly. Additional goals were to address whether adverse outcomes were likely to be clinically severe and to incorporate clinical information on diagnoses when available. These criteria are meant to serve epidemiological studies, drug utilization review systems, health care providers, and educational efforts. Consensus from a panel of 6 nationally recognized experts on the appropriate use of medication in the elderly was sought. The expert panel agreed on the validity of 28 criteria describing the potentially inappropriate use of medication by general populations of the elderly as well as 35 criteria defining potentially inappropriate medication use in older persons known to have any of 15 common medical conditions. Updated, expanded, and more generally applicable criteria are now available to help identify inappropriate use of medications in elderly populations. These criteria define medications that should generally be avoided in the ambulatory elderly, doses or frequencies of administrations that should generally not be exceeded, and medications that should be avoided in older persons known to have any of several common conditions.