부산지역 노인환자의 병용금기약물 처방양상

• 영문명: Co-prescribing Patterns of Contraindicated Drugs for the Elderly Patients in Busan
• 발행기관: 한국역학회
• 저자명: 최남경(Nam-Kyong Choi) 정선영(Sun-Young Jung) 박병주(Byung-Joo Park)
• 간행물 정보: 『한국역학회지』韓國疫學會誌 第30卷 第1號, 128~136쪽, 전체 9쪽
• 주제분류: 의약학 > 면역학
• 파일형태: PDF
• 발행일자: 2008.06.30

영문 초록

  Purpose: To estimate the prevalence of co-prescribing contraindicated drugs for elderly patients in Busan.
  Methods: We used the Health Insurance Review Agency (HIRA) claims database. Study population consisted of elderly patients who visited clinics or hospitals in Busan metropolitan city from January 1, 2000 to December 31, 2001. Contraindicated drugs were defined as 162 combinations of contraindicated drugs announced by the Korea Ministry of Health and Welfare in 2004. The co-prescription of contraindicated drugs was defined as prescribing two or more contraindicated drugs in combination in the same prescription. The prevalence of co-prescribing contraindicated drugs was estimated as proportion of co-prescribed patients out of the study patients. We estimated and age-adjusted prevalence and its 95% confidence interval of co-prescription of contraindicated drugs among the elderly patients in Korean population in 2001.
  Results: The study elderly patients were 262,952 with 2,483,227 prescriptions. Among the study patients 1,208 (4. 6%0) were prescribed contraindicated drugs in combination. A total of 16,255 patients were estimated as the number of co-prescribed patients among the Korean elderly in 2001. Age-standardized prevalence of co-prescription to the Korean elderly was estimated to be 45 per 10,000 persons. The most frequently prescribed combinations were cisapride & amitriptyline, roxithromycin & ergoloid mesylate, and terfenadine & erythromycin, and the frequency were 325 (16.8%), 149 (7.7%), and 132 (6.8%),respectively.
  Conclusions: The contraindicated drugs were co-prescribed to the elderly patients in Korea. Many of these co-prescriptions should be avoided if unnecessary. The patients should be carefully monitored if they were inevitably prescribed the contraindicated drugs.

목차

z서론
연구대상 및 방법
결과
고찰
결론
참고문헌
Abstract

키워드

Contraindications Drug Combinations Drug Utilization Review Aged