Development of a list of potentially inappropriate medication for the Chinese aged people
10.3760/cma.j.issn.1008-5734.2015.01.005
- VernacularTitle:中国老年人潜在不适当用药目录的研制
- Author:
Yan YAN
1
;
Yuqin WANG
;
Qian SHEN
;
Dechun JIANG
;
Xiaoling LI
;
Chen LIU
;
Xingwei LI
Author Information
1. 北京市医药集中采购服务中心
- Publication Type:Journal Article
- Keywords:
Aged;
Catalogs,drug;
Delphi technique;
Potentially inappropriate medication;
Beers criteria
- From:
Adverse Drug Reactions Journal
2015;17(1):19-26
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop a list of potentially inappropriate medication (PIM) for the Chinese aged people and provide reference for prevention and reduce the medication risk of the aged people.Methods Based on the PIM lists of the United States,Canada,Japan,France,Norway,Germany,South Korea and Austria,and combined with the data of serious adverse drug reactions (ADR) in the aged people collected from China National Center for ADR Monitoring,ADR monitoring center in the People's Liberation Army,Beijing Center for ADR Monitoring and ADR data from Beijing 22 hospitals,we created a preliminary PIM list for the Chinese aged people.Using Delphi technique experts consultation was made for the initial list.Round 1 consultantation invited 32 experts,according to the expert advice to adjust the initial list,and form a revised list.Round 2 consultantation invited 38 experts,according to the expert advice to adjust revised list,and the final version of the PIM list formed.Results A total of 13-class 72 medications or medication classes were selected as the Chinese aged people PIM list,each medicine had 1-6 risk points.The list was divided according to the result of expert evaluation into 35 kinds of high risk medications and 37 kinds of low risk medications.In addition,according to the frequency of drug use,the medications were divided into A and B two categories,including 24 medications or medication classes as the preferred alert medications (A),48 medications or medication classes as routinely alert medications (B).Conclusion PIM list for the Chinese aged people have been developed,which can be taken as reference to intervention and evaluation of China's elderly medication.
