第2版老年人不适当处方筛查工具(STOPP)：2014年版

温璐平; 吴海燕; 元刚

doi:10.3760/cma.j.issn.0254-9026.2016.04.025

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中华老年医学杂志

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ENGLISH ABSTRACT

第2版老年人不适当处方筛查工具(STOPP)：2014年版

作者及单位信息

出版日期： 2016 -04 -14 ·

DOI： 10.3760/cma.j.issn.0254-9026.2016.04.025

Screening Tool of Older Persons' Prescriptions version 2-update 2014

Authors Info & Affiliations

Wen Luping

Department of Pharmacy, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China

Wu Haiyan

Department of Pharmacy, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China

Yuan Gang

Department of Geriatrics, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China

Published： 2016 -04 -14 ·

DOI： 10.3760/cma.j.issn.0254-9026.2016.04.025

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摘要

老年人不适当处方筛查工具(STOPP标准)第1版2008年由爱尔兰Cork大学附属医院专家组发表。自发表以来，该标准在发现老年人潜在不适当用药、加强对老年人滥用药物的监管、减少老年人药品不良反应事件等方面发挥了积极作用。近日，新版STOPP标准发布，提供了更新、更实用的循证医学依据，现对新版STOPP进行翻译和整理，以供临床医生和药师参考和借鉴，促进老年患者合理用药。

关键词：处方，药物;药物监测

ABSTRACT

Screening Tool of Older Persons' Prescriptions (STOPP criteria) version 1 was first launched by geriatricians from Cork University Hospital (Ireland) in 2008. The criteria played a positive role in identifying potentially inappropriate prescriptions. It could also enhance the supervision of drug abuse and reduce adverse drug reactions in the elderly. Recently, a new version of STOPP was published, with updated, more practical and evidence-based guidance. Here we translated and edited the new version of STOPP, in order to provide a valuable reference for physicians and pharmacists and promote rational drug use in elderly patients.

KEYWORDS： Prescriptions, drug;Drug monitoring

Corresponding author: Yuan Gang, Email: mocdef.3ab61uszgnagnow

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引用本文

温璐平,吴海燕,元刚. 第2版老年人不适当处方筛查工具(STOPP)：2014年版[J]. 中华老年医学杂志,2016,35(4)：452-455.

DOI:10.3760/cma.j.issn.0254-9026.2016.04.025

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老年人不适当处方筛查工具(screening tool of older persons' prescriptions, STOPP)是2008年爱尔兰Cork大学附属医院专家组发表的老年人潜在不适当用药筛选工具 ^{[
1
]}。自2008年第1版STOPP标准发表以来，被全球20多个国家用于评价老年人不合理用药的临床研究和实践，能有效评价老年人潜在不适当用药、加强对老年人滥用药物的监管、减少老年人的药品不良反应事件 ^{[
2
,

3
]}。研究表明，STOPP标准比Beers标准能发现更多的潜在不适当用药(potentially inappropriate medications, PIMs)，与不良反应的发生联系更紧密 ^{[
4
,

5
]}。近年来，爱尔兰Cork大学附属医院的专家组联合欧洲各国专家组成的团队对STOPP进行了更新，于2014年10月发表了第2版STOPP ^{[
6
]}。新版STOPP根据最新的老年人合理用药研究结果和临床证据，在第1版基础上增加、修订和删减了一些标准，最终形成包括13大类、共81条潜在不适当用药的新标准，内容更为详细具体、与临床结合更加紧密。我国目前尚无指导老年人合理用药的筛查工具，现对新版STOPP进行翻译和整理，以供临床医生和药师参考和借鉴，促进老年患者合理用药。对于年龄≥65岁的老年人，以下药物处方存在潜在的不适当性。

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摘要
参考文献

参考文献

[1]

Gallagher P , Ryan C , Byrne S ,et al. STOPP (Screening Tool of Older Person's Prescriptions) and START (Screening Tool to Alert doctors to Right Treatment). Consensus validation[J]. Int J Clin Pharmacol Ther， 2008，46(2):72-83.

返回引文位置Google Scholar

百度学术

万方数据

[2]

Gallagher PF , O'Connor MN , O'Mahony D . Prevention of potentially inappropriate prescribing for elderly patients: a randomized controlled trial using STOPP/START criteria[J]. Clin Pharmacol Ther, 2011，89(6):845-854. DOI： 10.1038/clpt.2011.44 .

返回引文位置Google Scholar

百度学术

万方数据

[3]

Hamilton H , Gallagher P , Ryan C ，et al. Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients[J]. Arch Intern Med 2011，171(11):1013-1019. DOI: 10.1001/archinternmed.2011.215 .

返回引文位置Google Scholar

百度学术

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[4]

刘晓红，康琳．Beers标准是老年人用药安全的有力保障[J]．中华老年医学杂志， 2012,31(7):549-550. DOI： 10.3760/cma.j.issn.0254-9026.2012.07.002 .

返回引文位置Google Scholar

百度学术

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Liu XH , Kang L ．Beers criteria is a guarantee to ensure safe medicine among elderly[J]．Chin J Geriatr, 2012,31(7):549-550. DOI: 10.3760/cma.j.issn.0254-9026.2012.07.002 .

Goto CitationGoogle Scholar

Baidu Scholar

Wanfang Data

[5]

Blanco-Reina E , Ariza-Zafra G , Ocaa-Riola R ,et al. 2012 American Geriatrics Society Beers Criteria: Enhanced Applicability for Detecting Potentially Inappropriate Medications in European Older Adults? A Comparison with the Screening Tool of Older Person's Potentially Inappropriate Prescriptions[J]. J Am Geriatr Soc, 2014，62(7) :1217-1223. DOI: 10.1111/jgs.12891 .

返回引文位置Google Scholar

百度学术

万方数据

[6]

O'Mahony D , O'Sullivan D , Byrne S ,et al. STOPP/START criteria for potentially inappropriate prescribing in older people: version 2[J]. Age Ageing, 2015，44(2):213-218. DOI: 10.1093/ageing/afu145 .

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备注信息

通信作者：元刚，Email: mocdef.3ab61uszgnagnow

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