[Use of the Stopp/Start version 2 tool in an acute geriatric unit].

IF 0.4 4区医学 Q4 PSYCHIATRY Geriatrie et Psychologie Neuropsychiatrie De Vieillissement Pub Date : 2023-06-01 DOI:10.1684/pnv.2023.1103

Abrar-Ahmad Zulfiqar, Thibault Courtois, Emmanuel Andrès

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Abstract

Introduction: Inappropriate drug prescriptions (IP) lead to a high risk of adverse effects, especially for the elderly. Their detection is essential - which can be done using therapeutic lists, including the Stopp/Start scale version 2.

Methods: Observational study - from August 1, 2016, to November 30, 2016, in an advanced geriatric unit at Rouen University Hospital - using the Stopp/Start version 2 list.

Results: Eighty-five patients were included, with a ratio of 1.36 women per every man. Sixty-one patients (71.8%) had prescriptions for more than five drugs. The average Charlson comorbidity score was 6.05. One hundred ninety-one IPs were found. Classes E and G (kidney function and respiratory system prescriptions, respectively) were not uncovered. Fifty-four Stopp criteria - 66% of Stopp criteria - never emerged during our study. Using the 34 Start criteria, 187 omissions of prescriptions were found. Classes F and G (endocrine system and urogenital system drugs, respectively) were not observed at any time. Ten criteria were never seen (B3/C1/C4/C5/E6/E7/F1/G1/G2/G3). Nineteen criteria were mentioned less than three times - i.e., in approximately 10% of omissions.

Conclusion: Our study is part of an approach to protecting the elderly. A significant number of IP and prescription drug omissions were uncovered using this Stopp/Start version 2 tool.

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[在急性老年病房使用停止/启动第2版工具]。

不适当的药物处方(IP)导致高风险的不良反应，特别是对老年人。它们的检测是必不可少的——这可以通过治疗清单来完成，包括停止/开始量表第2版。方法:观察性研究-从2016年8月1日至2016年11月30日，在鲁昂大学医院的一个高级老年病房-使用停止/开始版本2列表。结果:纳入85例患者，男女比例为1.36。61例(71.8%)患者处方药物超过5种。平均Charlson合并症评分为6.05。发现了191个ip。E类和G类(分别为肾脏功能和呼吸系统处方)未被发现。54个Stopp标准——66%的Stopp标准——在我们的研究中从未出现过。使用34个Start标准，发现187个处方遗漏。F类和G类(分别为内分泌系统药物和泌尿生殖系统药物)在任何时候都没有被观察到。10项标准未见(B3/C1/C4/C5/E6/E7/F1/G1/G2/G3)。有19项标准被提及的次数少于三次，即约占遗漏的10%。结论:我们的研究是保护老年人方法的一部分。使用这个停止/启动版本2工具发现了大量的知识产权和处方药遗漏。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatrie et Psychologie Neuropsychiatrie De Vieillissement PSYCHIATRY-PSYCHOLOGY

CiteScore

0.70

自引率

16.70%

发文量

审稿时长

6-12 weeks

期刊介绍： D''une qualité scientifique reconnue cette revue est, la première revue francophone gériatrique et psychologique indexée dans les principales bases de données internationales. Elle couvre tous les aspects médicaux, psychologiques, sanitaires et sociaux liés au suivi et à la prise en charge de la personne âgée. Que vous soyez psychologues, neurologues, psychiatres, gériatres, gérontologues,... vous trouverez à travers cette approche originale et unique, un veritable outil de formation, de réflexion et d''échanges indispensable à votre pratique professionnelle.