Application of Commonly-used PIM Screening Criteria Combined with Self-developed Traditional Chinese Medicine PIM Criteria to Evaluate Potentially Inappropriate Medication in Elderly Inpatients
10.3870/j.issn.1004-0781.2024.01.020
- VernacularTitle:常用潜在不适当用药筛查标准联合自拟中药判断标准评估分析老年住院患者潜在不适当用药
- Author:
Yirong QIU
1
,
2
;
Bingting SUN
;
Wenliang DUN
Author Information
1. 南京中医药大学附属南京中医院药学部,南京 210001
2. 中国药科大学基础医学与临床药学学院,南京 210009
- Keywords:
Potentially inappropriate medication;
Multiple medications;
Traditional Chinese medicine;
Elderly inpatients
- From:
Herald of Medicine
2024;43(1):126-130
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate potentially inappropriate medication(PIM)and influencing factors of elderly hospitalized patients,and to provide a reference for clinically rational drug use.Methods A total of 116 medical records of elderly hospitalized patients from October to December 2021 were collected.The Beers criteria(2019),Chinese PIM criteria(2017),and self-developed traditional Chinese medicine PIM criteria were applied respectively to analyze the potentially inappropriate medication situation.Analysis of influencing factors of PIM was also conducted.Results According to the Beers criteria(2019),42 items of PIM were discovered,and the drugs with high frequency were benzodiazepines.According to Chinese PIM criteria(2017),there were 49 items of PIM,mainly involving clopidogrel and nervous system drugs.According to self-developed traditional Chinese medicine PIM criteria,42 cases of PIM were screened,of which toxic conventional Chinese medicine and preparations containing harmful traditional Chinese medicine accounted for 40.5%.Influencing factors analysis showed the common influencing factors of PIM are department and the number of treatments used(P＜0.05).Conclusions Elderly inpatients have a high incidence of PIM.Due to the extensive use of traditional Chinese medicine and Chinese patent medicines by elderly patients,the exploratory construction of PIM standards for traditional Chinese medicine and screening for elderly inpatients'medical orders are necessary to ensure drug safety in elderly patients.
