STOPP:薬剤有害事象予測スコア

高齢患者の有害的な薬剤同定のための予測スコアを前向き研究にて評価。

STOPP (Screening Tool of Older Persons' potentially inappropriate Prescriptions)は、1.847のオッズ比(95% 信頼区間 CI 1.506-2.265, P<0.001)

一方、従来のBeerクライテリアでは医薬品関連イベントを予測できなかった (OR 1.276, 95% CI 0.945 to 1.722, P=0.11)

Potentially Inappropriate Medications Defined by STOPP Criteria and the Risk of Adverse Drug Events in Older Hospitalized Patients

Hilary Hamilton, MB, MRCPI; Paul Gallagher, PhD, MRCPI; Cristin Ryan, PhD, MPSI; Stephen Byrne, PhD, MPSI; Denis O’Mahony, MD, FRCPI

Arch Intern Med. 2011;171(11):1013-1019. doi:10.1001/archinternmed.2011.215



STOPP (Screening Tool of Older Persons’ potentially inappropriate Prescriptions): application to acutely ill elderly patients and comparison with Beers’ criteria

Table 2:http://ageing.oxfordjournals.org/content/37/6/673/T2.expansion.html
Table 3: http://ageing.oxfordjournals.org/content/37/6/673/T3.expansion.html


レセコンあたりに組み入れたら・・・簡単にスコア表示できそうな気もするが・・・

by internalmedicine | 2011-06-15 07:07 | 医療一般  

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