지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Purpose: The purpose of the present study was to assess the incidence of the potentially inappropriate medication (PIM)use in Korean elderly patients with heart failure, and to evaluate factors that influence PIM use. Method: Korean NationalHealth Insurance claims database between January 2009 and December 2009 was used. Using 2012 updated Beers criteria,PIM use in heart failure patients aged 65 years or older was examined. Result: The incidence of PIM use in elderlyheart failure patients was higher than in overall elderly patients. Among the 12,759 elderly patients with heart failure,46.2% of study subjects were prescribed PIM(s) at least once. The number of PIM per 10 medications that patientsreceived per patient was 1.53. The most commonly used PIMs in elderly heart failure patients were benzodiazepines(30.9%), non-steroidal anti-inflammatory drugs (NSAIDs) including COX-2 inhibitors (16.3%), digoxin (9.9%), andspironolactone (9.0%). Women (odds ratio, 1.20; 95% CI, 1.17-1.24), medical aid (odds ratio, 1.11; 95% CI, 1.08-1.13),and long-term facilities (odds ratio, 2.69; 95% CI, 2.44-2.96) were revealed to be important factors associated with PIMuse. In addition, patient’s age also seems to influence PIM use. Conclusion: Elderly heart failure patients are at agreater risk for adverse drug events attributed by inappropriate medication use. Efforts to increase awareness of PIMuse in elderly heart failure patients are needed. In addition, various comprehensive strategies and policies to identifyand prevent PIM use should be established nationwide.
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참고문헌 (26)
참고문헌 신청
Akazawa M. / 2010 / Potentially inappropriate medication use in elderly Japanese patients / Am J Geriatr Pharmacother 8 (2) : 146 ~ 160
Fialova D. / 2005 / AdHOC Project Research Group. Potentially inappropriate medication use among elderly home care patients in Europe / JAMA 293 (11) : 1348 ~ 1358
Gallagher P. / 2007 / Inappropriate prescribing in the elderly / J Clin Pharm Ther 32 (2) : 113 ~ 121
Gallagher P. / 2008 / STOPP(screening tool of older person's prescriptions)and START(screening tool to alert doctors to right treatment). consensus validation / Int J Clin P
Go AS. / 2013 / Heart disease and stroke Statistics?2013 update : A report from the american heart association / Circulation 127 (1) : e6 ~ e245
Fialova D. / 2005 / AdHOC Project Research Group. Potentially inappropriate medication use among elderly home care patients in Europe / JAMA 293 (11) : 1348 ~ 1358
Gallagher P. / 2007 / Inappropriate prescribing in the elderly / J Clin Pharm Ther 32 (2) : 113 ~ 121
Gallagher P. / 2008 / STOPP(screening tool of older person's prescriptions)and START(screening tool to alert doctors to right treatment). consensus validation / Int J Clin P
Go AS. / 2013 / Heart disease and stroke Statistics?2013 update : A report from the american heart association / Circulation 127 (1) : e6 ~ e245
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