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Comparison of 3 evaluation criteria for potentially inappropriate medications in elderly patients with femoral neck fracture
- ZHONGGUO YAOFANG Vol. 35, Issue 6, Pages: 762-766(2024)
- 作者机构：
1.江苏省苏北人民医院/扬州大学临床医学院药学部，江苏 扬州 225001
2.江苏省苏北人民医院骨科，江苏 扬州 225001
3.湖北科技学院药学院，湖北 咸宁 437100
4.江苏省苏北人民医院麻醉科，江苏 扬州 225001
- 作者简介：
- 基金信息：
DOI：10.6039/j.issn.1001-0408.2024.06.22
CLC： R969.3Published：30 March 2024，
Received：15 October 2023，
Revised：23 February 2024，
扫 描 看 全 文
张晅,孙钰,高扬等.3种标准评估老年股骨颈骨折患者潜在不适当用药的比较 Δ[J].中国药房,2024,35(06):762-766.
ZHANG Xuan,SUN Yu,GAO Yang,et al.Comparison of 3 evaluation criteria for potentially inappropriate medications in elderly patients with femoral neck fracture[J].ZHONGGUO YAOFANG,2024,35(06):762-766.
张晅,孙钰,高扬等.3种标准评估老年股骨颈骨折患者潜在不适当用药的比较 Δ[J].中国药房,2024,35(06):762-766. DOI： 10.6039/j.issn.1001-0408.2024.06.22.
ZHANG Xuan,SUN Yu,GAO Yang,et al.Comparison of 3 evaluation criteria for potentially inappropriate medications in elderly patients with femoral neck fracture[J].ZHONGGUO YAOFANG,2024,35(06):762-766. DOI： 10.6039/j.issn.1001-0408.2024.06.22.
摘要
目的
2
分析老年股骨颈骨折患者入院时潜在不适当用药（PIM）的发生情况，并对3种标准评估结果的一致性进行比较。
方法
2
回顾性分析2022年7月到2023年6月江苏省苏北人民医院骨科收治的老年股骨颈骨折患者资料，分别采用《中国老年人潜在不适当用药判断标准（2017年版）》（以下简称“中国标准”）、《美国老年医学会老年人潜在不适当用药Beers标准2023版》（以下简称“2023年Beers标准”）和第3版老年人潜在不适当处方筛查工具（以下简称“第3版STOPP标准”）对患者入院时的PIM进行评估，采用Kappa检验评估结果的一致性。
结果
2
共纳入246例患者。参照中国标准，共有49例（19.92%）存在PIM，共计77例次；参照2023版Beers标准，共有64例（26.02%）存在PIM，共计118例次；参照第3版STOPP标准，共有41例（16.67%）存在PIM，共计67例次；有22例患者同时符合3种标准。3种标准评估结果两两比较的Kappa值为0.417～0.486，一致性一般。
结论
2
3种标准评估的PIM存在一定差异，但总体发生率均在30%以下；苯二氮
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类药物、抗精神病药、抗抑郁药等可能会增加患者再次跌倒的风险。
Abstract
OBJECTIVE
2
To analyze the prevalence of potentially inappropriate medication （PIM） in elderly patients with femoral neck fractures at admission and compare the concordance of 3 evaluation criteria.
METHODS
2
A retrospective study was conducted to review the data of elderly patients with femoral neck fractures admitted to the Department of Orthopedics in Northern Jiangsu People’s Hospital from July 2022 to June 2023. The PIMs were identified according to the
Criteria of Potentially Inappropriate Medications for Older Adults in China
：
2017 edition
（hereinafter referred to as Chinese criteria），
American Geriatrics Society 2023 Updated AGS Beers Criteria
®
for Potentially Inappropriate Medication in Older Adults
（hereinafter referred to as 2023 Beers criteria）， third version criteria for screening tool of older people’s prescriptions for potentially inappropriate medication （hereinafter referred to as STOPP criteria version 3）. The concordance of the 3 evaluation criteria was compared by using Kappa statistics.
RESULTS
2
A total of 246 patients were included in this study； 49 patients （19.92%） with 77 PIMs were detected by the Chinese criteria， 64 patients （26.02%） with 118 PIMs were detected by the 2023 Beers criteria， and 41 patients （16.67%） with 67 PIMs were detected by the STOPP criteria version 3； 22 patients met all three criteria simultaneously. The concordance among the three criteria showed moderate agreement （0.417≤Kappa≤0.486） when compared in pairs.
CONCLUSIONS
2
There are certain differences in the PIM evaluated by the three criteria， but the prevalence of PIMs is below 30% according to the different criteria. Benzodiazepines， antipsychotics， antidepressants， and other drugs may increase the risk of patients falling again.
关键词
潜在不适当用药老年人股骨颈骨折用药安全评估标准
Keywords
agedfemoral neck fracturesmedication safetyevaluation criteria
references
ZHANG C G，FENG J N，WANG S F，et al. Incidence of and trends in hip fracture among adults in urban China：a nationwide retrospective cohort study[J]. PLoS Med，2020，17（8）：e1003180.
中国老年医学学会骨与关节分会创伤骨科学术工作委员会. 老年髋部骨折诊疗专家共识：2017[J]. 中华创伤骨科杂志，2017，19（11）：921-927.
Chinese Geriatrics Society Bone and Joint Association Orthopaedic Trauma Committee.Experts’ consensus on diagnosis and management of geriatric hip fractures：2017[J]. Chin J Orthop Trauma，2017，19（11）：921-927.
国家卫生健康委办公厅. 国家卫生健康委办公厅关于印发老年髋部骨折诊疗与管理指南（2022年版）的通知[EB/OL].（2022-12-30）[2023-09-27]. http：//www.nhc.gov.cn/yzygj/s7659/202212/7fa334c35f724362892e0d0ba359-51c5.shtmlhttp://www.nhc.gov.cn/yzygj/s7659/202212/7fa334c35f724362892e0d0ba359-51c5.shtml.
General Office of National Health Commission. Notice of the General Office of National Health Commission on the issuance of guidelines for the diagnosis，treatment and management of geriatric hip fractures（2022 edition）[EB/OL].（2022-12-30）[2023-09-27]. http：//www.nhc.gov.cn/yzygj/s7659/202212/7fa334c35f724362892e0d0ba35951-c5.shtmlhttp://www.nhc.gov.cn/yzygj/s7659/202212/7fa334c35f724362892e0d0ba35951-c5.shtml.
BEERS M H，OUSLANDER J G，ROLLINGHER I，et al. Explicit criteria for determining inappropriate medication use in nursing home residents. UCLA Division of Geria-tric Medicine[J]. Arch Intern Med，1991，151（9）：1825-1832.
HYTTINEN V，JYRKKÄ J，SAASTAMOINEN L K，et al. The association of potentially inappropriate medication use on health outcomes and hospital costs in community-dwelling older persons：a longitudinal 12-year study[J]. Eur J Health Econ，2019，20（2）：233-243.
中国老年保健医学研究会老年合理用药分会，中华医学会老年医学分会，中国药学会老年药学专业委员会，等. 中国老年人潜在不适当用药判断标准：2017年版[J]. 药物不良反应杂志，2018，20（1）：2-8.
Rational Drug Use Branch of Chinese Association of Geria-tric Research，Geriatrics Branch of Chinese Medical Association，Geriatric Medication Committee of Chinese Pharmaceutical Association，et al. Criteria of potentially inappropriate medications for older adults in China-Rational Drug Use Branch of Chinese[J]. Adverse Drug React J，2018，20（1）：2-8.
By the 2023 American Geriatrics Society Beers Criteria® Update Expert Panel. American Geriatrics Society 2023 updated AGS Beers Criteria® for potentially inappropriate medication use in older adults[J]. J Am Geriatr Soc，2023，71（7）：2052-2081.
O’MAHONY D，CHERUBINI A，GUITERAS A R，et al. STOPP/START criteria for potentially inappropriate prescribing in older people：version 3[J]. Eur Geriatr Med，2023，14（4）：625-632.
BAI Y，WANG J Q，LI G Y，et al. Evaluation of potentially inappropriate medications in older patients admitted to the cardiac intensive care unit according to the 2019 Beers criteria，STOPP criteria version 2 and Chinese criteria[J]. J Clin Pharm Ther，2022，47（12）：1994-2007.
广东省药学会. 老年人药物相关性跌倒预防管理专家共识[J]. 今日药学，2019，29（10）：649-659.
Guangdong Pharmaceutical Association. Experts’ consensus on the prevention and management of drug induced falls in the elderly[J]. Pharm Today，2019，29（10）：649-659.
LÖNNBRO J，WALLERSTEDT S M. Clinical relevance of the STOPP/START criteria in hip fracture patients[J]. Eur J Clin Pharmacol，2017，73（4）：499-505.
HENRIKSEN B T，KROGSETH M，ANDERSEN R D，et al. Clinical pharmacist intervention to improve medication safety for hip fracture patients through secondary and primary care settings：a nonrandomised controlled trial[J]. J Orthop Surg Res，2023，18（1）：434.
段妍琴，彭颖，刘胜兰，等. 门诊老年患者潜在不适当用药情况及影响因素分析[J]. 中国全科医学，2023，26（31）：3902-3907.
DUAN Y Q，PENG Y，LIU S L，et al. Prevalence and associated factors of potentially inappropriate medication among elderly outpatients[J]. Chin Gen Pract，2023，26（31）：3902-3907.
黄静，蔡娟娟，吴伦. 老年内分泌疾病患者的潜在不适当用药及影响因素分析[J]. 中国医院药学杂志，2023，43（4）：431-435.
HUANG J，CAI J J，WU L. The evaluation on potentially inappropriate medications in elderly patients with endocrine diseases[J]. Chin J Hosp Pharm，2023，43（4）：431-435.
徐鹏，张国柱. 老年住院患者潜在不适当用药情况及影响因素[J]. 医药导报，2019，38（3）：388-391.
XU P，ZHANG G Z. Prevalence and risk factors of potentially inappropriate medication in elderly inpatients according to the Chinese PIM list[J]. Her Med，2019，38（3）：388-391.
廖雅慧，郎驿天，林燕，等. 常用老年人潜在不适当用药判断标准比较[J]. 中国药房，2022，33（9）：1131-1135.
LIAO Y H，LANG Y T，LIN Y，et al. Comparison of commonly used judgment criteria for potentially inappropriate medication in the elderly[J]. China Pharm，2022，33（9）：1131-1135.
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