Health outcomes associated with potentially inappropriate medication use in older adults

被引：212

作者：

Fick, Donna M. ^{[1
]}

Mion, Lorraine C. ^{[2
]}

Beers, Mark H. ^{[3
]}

Waller, Jennifer L. ^{[4
]}

机构：

[1] Penn State Univ, Sch Nursing, University Pk, PA 16802 USA

[2] MetroHlth Med Ctr, Cleveland, OH USA

[3] Univ Sci Philadelphia, Philadelphia, PA USA

[4] Med Coll Georgia, Augusta, GA 30912 USA

来源：

RESEARCH IN NURSING & HEALTH | 2008年 / 31卷 / 01期

关键词：

medications; healthcare costs; geriatrics; adverse drug events;

D O I：

10.1002/nur.20232

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

The purpose of this study was to examine the Prevalence of potentially inappropriate medication use (PIMs) among community-dwelling older adults and the association between PIMs and health care outcomes. Participants were 17,971 individuals age 65 years and older. PIM use was defined by the Beers criteria. Drug-related problems (DRPs) were defined using ICD-9 codes. Forty percent of the 17,971 individuals filled at least 1 PIM Prescription, and 13% filled 2 or more PIM prescriptions. Overall DRP prevalence among those with at least I PIM Prescription was 14.3% compared to 4.7% in the non-PIM group (p<.001). In conclusion, preventing PIM use may be important for decreasing medication-related problems, which are increasingly being recognized as requiring an integrated interdisciplinary approach. (c) 2007 Wiley Periodicals, Inc.

引用

页码：42 / 51

页数：10

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