Interpretation of 2019 Beers Criteria for Potentially Inappropriate Medication Use in Older Adults

doi:10.12114/j.issn.1007-9572.2019.00.435

Abstract

Abstract: The Beers criteria is currently the most widely used evaluation tool for potentially inappropriate medication use in older adults.American Geriatrics Society（AGS） updated the criteria on January 29，2019，and this paper is an interpretation of the criteria.The 2019 Beers criteria follows the Delphi method in the 2015 editon，and all five types in 2015 Beers criteria are retained，but the specific contents have been added，deleted or modified according to the new medical evidence，including 30 categories of drugs that are avoided to be used in the elderly in general，40 categories of drugs that should be avoided or used with caution in certain diseases or syndromes，and revisions of 16 criteria，such as the removal of drugs that are not used，used less，or not unique to the elderly in the United States，the supplementation of drugs that should be avoided in the elderly associated with falls or fractures，Parkinson's disease or insomnia and the drug-drug interactions，and a more detailed interpretation of the criteria for the evaluation of some drugs.The basic framework and general content of the 2019 Beers criteria which is a powerful tool to ensure the rational use of drugs for the elderly is not much different from the 2015 edition，but the target group is clearer and the content is more concise.

Key words: Aged；Medication systems, hospital；Potentially inappropriate medication；Beers critieria, 2019 version

摘要： Beers标准是目前运用最广泛的老年人潜在不适当用药评价工具。2019-01-29，美国老年医学会（AGS）再次更新了该标准。本文对2019年版Beers标准进行解读，该标准沿用了2015年版的制定方法，保留了既往标准中的5种类型列表，但基于新的循证医学证据，增加、删除及修订了标准中的具体内容，其中包括30种老年人避免使用的药物/药物类别、40种在某些疾病或综合征下应避免应用或谨慎使用的药物及16项标准的重新梳理，如删除了已不在美国使用、较少使用或非老年人群特有的药物，补充了与跌倒或骨折、帕金森病或老年人失眠等疾病相关的避免使用药物及药物相互作用，对某些药物评价依据的描述更加具体和细化。2019年版Beers标准的基本框架和大体内容与2015年版Beers标准差异不大，但目标人群更为明确，内容更为精简，是保障老年人合理用药的有力工具。
老年人；给药系统，医院；潜在不适当用药；Beers标准，2019年版

SHU Bing,LIU Yulong,ZHANG Shengyu, et al. Interpretation of 2019 Beers Criteria for Potentially Inappropriate Medication Use in Older Adults　[J]. Chinese General Practice, 2019, 22(33): 4041-4046. DOI: 10.12114/j.issn.1007-9572.2019.00.435.
舒冰,刘玉龙,张圣雨等. 老年人潜在不适当用药评价工具2019年版Beers标准解读[J]. 中国全科医学, 2019, 22(33): 4041-4046. DOI: 10.12114/j.issn.1007-9572.2019.00.435.

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