The Effects of Polypharmacy in Older Adults

被引:229
作者
Hilmer, S. N. [1 ,2 ,3 ]
Gnjidic, D. [1 ,2 ,3 ]
机构
[1] Royal N Shore Hosp, Dept Clin Pharmacol, St Leonards, NSW 2065, Australia
[2] Royal N Shore Hosp, Dept Aged Care & Rehabil, St Leonards, NSW 2065, Australia
[3] Univ Sydney, Fac Med, No Clin Sch, Sydney, NSW 2006, Australia
关键词
LOWER-EXTREMITY FUNCTION; DRUG-DRUG INTERACTIONS; PHYSICAL PERFORMANCE; FUNCTIONAL OUTCOMES; ELDERLY POPULATION; NURSING-HOME; PEOPLE; FALLS; RISK; AGE;
D O I
10.1038/clpt.2008.224
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
An assessment of the safety and efficacy of multiple medications in older adults requires clinically relevant objective outcomes and pharmacological measures of medication exposure. Important outcomes include geriatric syndromes and objective measures of physical function. Measurements of medication exposure have evolved from merely counting the drugs to a consideration of pharmacologic principles such as drug class, dose response, and maximal effect. Emerging evidence regarding the effects of cumulative medication exposure on functions critical for independence may provide guidance for prescribers.
引用
收藏
页码:86 / 88
页数:3
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