双标准评估在高龄老年人潜在不适当用药中的应用OA
Application of Dual Criteria in Assessing Potentially Inappropriate Medication in the Oldest-Old
目的:采用国内外 2 种不同标准评估高龄老年人潜在不适当用药(PIM)状况.方法:汇总163例年龄≥85 岁老年人的慢性病用药情况,采用美国Beers标准 2023年版(Beers标准)和《中国老年人潜在不适当用药判断标准》2017年版(我国PIM标准)分别进行评估及分析.结果:依据Beers标准,PIM 检出率为72.39%(118/163,317例次);依据我国 PIM 标准,PIM 检出率为 73.01%(119/163,322 例次).双标准评估高龄老年人多重用药 PIM 发生率均高达 70%以上,但所涉及的药品及潜在风险点不同.结论:采用双标准评估,能够更全面地发现 PIM,为后续实施个性化用药干预提供参考依据和指导方向.
Objective:To assess potentially inappropriate medication(PIM)in the oldest-old using two different domestic and international criteria.Methods:Chronic medication data from 163 older adults aged≥85 years were summarized.The 2023 American Geriatrics Society Beers Criteria(2023 AGS Beers Criteria)and the 2017 Chinese Criteria for Potentially Inappropriate Medication in Older Adults were used for assessment and analysis.Results:According to the 2023 AGS Beers Criteria,the prevalence of PIM was 72.39%(118/163,317 instances).According to the Chinese PIM criteria,the prevalence of PIM was 73.01%(119/163,322 instances).The prevalence of PIM in the oldest-old with polypharmacy exceeded 70%when assessed using either criterion,but the drugs involved and the potential risk points differed.Conclusion:Assessment using dual criteria can identify PIM more comprehensively and provide a basis and guidance for subsequent individualized medication interventions.
来文辉;刘娜;杨志;陆敏;吴霞;张鲁囡
北京卫戍区海淀第五十六离职干部休养所,北京 100036北京卫戍区丰台第四离职干部休养所,北京 100166北京卫戍区丰台第十五离职干部休养所,北京 100141北京卫戍区丰台第四离职干部休养所,北京 100166北京卫戍区朝阳第十二离职干部休养所,北京 100101驻京老干部管理局第二综合服务保障中心门诊部,北京 100166
医药卫生
高龄老年人Beers标准潜在不适当用药慢性病用药
oldest-oldolder adultsBeers criteriapotentially inappropriate medicationmedications for chronic diseases
《中国合理用药探索》 2026 (6)
7-16,10
中国人民解放军北京卫戍区驻北京市老干部服务管理局2024年医疗保健实用技术研究课题(2024ZJJ07)
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