American Geriatrics Society 2015 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults

被引:2249
作者
Radcliff, Sue [1 ]
Yue, Jirong [1 ]
Rocco, Gina [1 ]
Aiello, Susan E. [1 ]
Ickowicz, Elvy [1 ]
Hurd, Zhenya [1 ]
Samuel, Mary Jordan [1 ]
Beers, Mark H. [1 ]
机构
[1] Amer Geriatr Soc, Special Projects & Governance, New York, NY 10038 USA
基金
美国国家卫生研究院;
关键词
Beers List; medications; Beers Criteria; drugs; older adults; polypharmacy; EXPLICIT CRITERIA; DRUG-DRUG; DEMENTIA; RISK; DELIRIUM; SLEEP; ANTICHOLINERGICS; PRESCRIPTIONS; INTERVENTIONS; GUIDELINES;
D O I
10.1111/jgs.13702
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
The 2015 American Geriatrics Society (AGS) Beers Criteria are presented. Like the 2012 AGS Beers Criteria, they include lists of potentially inappropriate medications to be avoided in older adults. New to the criteria are lists of select drugs that should be avoided or have their dose adjusted based on the individual's kidney function and select drug-drug interactions documented to be associated with harms in older adults. The specific aim was to have a 13-member interdisciplinary panel of experts in geriatric care and pharmacotherapy update the 2012 AGS Beers Criteria using a modified Delphi method to systematically review and grade the evidence and reach a consensus on each existing and new criterion. The process followed an evidence-based approach using Institute of Medicine standards. The 2015 AGS Beers Criteria are applicable to all older adults with the exclusion of those in palliative and hospice care. Careful application of the criteria by health professionals, consumers, payors, and health systems should lead to closer monitoring of drug use in older adults.
引用
收藏
页码:2227 / 2246
页数:20
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