关键词: elderly medication review pharmacist polypharmacy tools

Mesh : Humans Polypharmacy Inappropriate Prescribing / prevention & control Drug-Related Side Effects and Adverse Reactions / prevention & control Aged Deprescriptions

来  源:   DOI:10.3897/folmed.66.e117783

Abstract:
Inappropriate polypharmacy is a common occurrence in elderly patients, resulting in increased adverse drug reactions, nonadherence, and increased healthcare costs. Medication review and deprescribing are the primary strategies described in the literature for dealing with problematic polypharmacy. To effectively carry out the medication review, various tools have been developed. These tools can support medication review in a variety of ways. Some tools include a list of medications requiring detailed attention, while others guide medical professionals with principles and algorithms for reviewing and prescribing medicines. A third category of tools focuses on tracking and identifying symptoms that may be due to drug-related problems.
摘要:
不适当的多重用药是老年患者的常见病,导致药物不良反应增加,不坚持,增加医疗费用。药物审查和开处方是文献中描述的处理有问题的多重用药的主要策略。有效开展用药复查,已经开发了各种工具。这些工具可以以多种方式支持药物审查。一些工具包括需要详细注意的药物清单,而其他人则指导医疗专业人员审查和开药的原则和算法。第三类工具侧重于跟踪和识别可能是由于药物相关问题引起的症状。
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