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https://ir.cnu.edu.tw/handle/310902800/34481
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| 標題: | Potentially Inappropriate Medication among Older Patients Who Are Frequent Users of Outpatient Services |
| 作者: | Hsu, Kung-Chuan
Lu, Hai-Lin
Kuan, Chi-Ming
Wu, Jin-Song
Huang, Chyn-Liang
Lin, Pu-Hua
Trezise, Damien
Wang, Tzu-Chueh |
| 貢獻者: | Giraffe Pharm
Chia Nan Univ Pharm & Sci, Dept Informat Management
Minist Hlth & Welf, Kaoping Div, Natl Hlth Insurance Adm
Minist Hlth & Welf, Taiwan Food & Drug Adm, Div Med Prod
Chia Nan Univ Pharm & Sci, Dept Appl Foreign Languages
Chia Nan Univ Pharm & Sci, Dept Pharm |
| 關鍵字: | older adults care
polypharmacy
potentially inappropriate medication |
| 日期: | 2021 |
| 上傳時間: | 2023-11-11 11:56:38 (UTC+8) |
| 出版者: | MDPI |
| 摘要: | Aging is accompanied by changes in organ degeneration, and susceptibility to multiple diseases, leading to the frequent occurrence of adverse drug reactions resulting from polypharmacy (PP) and potentially inappropriate medications (PIM) in older patients. This study employs a retrospective cohort design and investigates the association of PP with PIM among older patients with high rates of medical utilization. Using records from a national pharmaceutical care database, an experimental group is formed from patients meeting these criteria, who are then offered home pharmaceutical care. Correspondingly, a control group is formed by identifying older patients with regular levels of use of medical services who had been dispensed medications at community pharmacies. Multivariate logistic regression is performed to assess the association between the rate of PIM and variables, including age, gender, and PP. The study finds that experimental PP participants had a higher rate of PIM prescription (odds ratio (OR) = 5.4) than non-PP control participants (all p < 0.001). In clinical practice, additional caution is required to avoid PIMs. Patients engaged in continuously using long-term medication should take precautions in daily life to alleviate related discomforts. Pharmacists should serve as a bridge between patients and physicians to enhance their health and improve their quality of life. |
| 關聯: | INT J ENV RES PUB HE, v.18, n.3, pp.985 |
| 顯示於類別: | [資訊管理系] 期刊論文
[應用外語系] 期刊論文
[藥學系(所)] 期刊論文
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