Risk of Drug-Induced Accidents and Injuries in Elderly Patients Treated with Specific Drugs Rather than Polypharmacy : Analyses of the Japanese Adverse Drug Event Report Database

T. Haga, Iori Taki-Takemoto, Remi Murase, D. Kamei, S. Iwai
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Abstract

: One of the reasons the health care system requires long-term nursing care for elderly patients is the risk of falls and fractures. In this study, we sought to identify risk factors for drug-induced falls and fractures in elderly patients in Japan. Risk factors for drug-induced falls and fractures in the elderly were analyzed by searching for the Standardised Medical Dictionary for Regulatory Activities ( MedDRA ) query ( SMQ ) “ accidents/injuries ” in the Japanese Adverse Drug Event Report database ( JADER ) , as this SMQ was the most well suited for evaluating data on falls and fractures. For elderly patients in Japan, the risk factors for drug-induced accidents/injuries include age ≥ 70 years old, female sex, and treatment with specific drugs, but not polypharmacy. risk factors with 10 highest odds were with , ; dementia therapeutic agents pain relievers sensitive risk
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使用特定药物而非多种药物治疗的老年患者药物性事故和伤害的风险:对日本不良药物事件报告数据库的分析
卫生保健系统需要对老年患者进行长期护理的原因之一是有跌倒和骨折的风险。在这项研究中,我们试图确定日本老年患者药物性跌倒和骨折的危险因素。通过在日本不良药物事件报告数据库(JADER)中搜索规范活动标准化医学词典(MedDRA)查询(SMQ)“事故/伤害”来分析老年人药物性跌倒和骨折的危险因素,因为该SMQ最适合评估跌倒和骨折的数据。在日本老年患者中,药物性事故/伤害的危险因素包括年龄≥70岁、女性和使用特定药物治疗,但不包括多种药物治疗。概率最高的10个危险因素是,;痴呆治疗药物缓解敏感风险
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