{"id":1612,"date":"2018-12-05T12:10:28","date_gmt":"2018-12-05T03:10:28","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1612"},"modified":"2018-12-05T12:15:24","modified_gmt":"2018-12-05T03:15:24","slug":"prevalence-of-potentially-inappropriate-prescribing-in-older-people-in-primary-care-and-its-association-with-hospital-admission-longitudinal-study-%e3%83%97%e3%83%a9%e3%82%a4%e3%83%9e%e3%83%aa","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1612","title":{"rendered":"\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306b\u304a\u3051\u308b\u9ad8\u9f62\u8005\u306e\u5165\u9662\u306b\u95a2\u9023\u3059\u308b\u6f5c\u5728\u7684\u306a\u4e0d\u9069\u5207\u51e6\u65b9\u306e\u5f71\u97ff\uff1a\u7e26\u65ad\u7814\u7a76"},"content":{"rendered":"

\u2015\u6587\u732e\u540d\u2015
\nTeresa P\u00e9rez, Frank Moriarty, Emma Wallace, Ronald McDowell, Patrick Redmond, Tom Fahey. Prevalence of potentially inappropriate prescribing in older people in primary care and its association with hospital admission: longitudinal study. BMJ (Clinical research ed.). 2018 Nov 14;363;k4524.<\/p>\n

\u2015\u8981\u7d04\u2015
\nOBJECTIVE
\n\u5165\u9662\u306865\u6b73\u4ee5\u4e0a\u306e\u9ad8\u9f62\u60a3\u8005\u3078\u306e\u4e0d\u9069\u5207\u51e6\u65b9\u3068\u306e\u95a2\u9023\u3068\uff0c\u5165\u9000\u9662\u524d\u5f8c\u3067\u4e0d\u9069\u5207\u306a\u51e6\u65b9\u304c\u9000\u9662\u5f8c\u306b\u5897\u52a0\u3059\u308b\u304b\u3069\u3046\u304b\u306b\u3064\u3044\u3066\u8abf\u3079\u308b\u3053\u3068\u3092\u76ee\u7684\u3068\u3059\u308b\uff0e
\nDESIGN
\n\u3000\u4e00\u822c\uff08\u5bb6\u5ead\u533b\u7642\uff09\u8a3a\u7642\u6240\u306e\u8a3a\u7642\u9332\u3092\u5f8c\u308d\u5411\u304d\u306b\u62bd\u51fa\u3057\u305f\u7e26\u65ad\u7814\u7a76\uff0e
\nSETTING
\n\u30002012\uff5e2015\u5e74\u306b\u304b\u3051\u3066\uff0c\u30a2\u30a4\u30eb\u30e9\u30f3\u30c9\u306b\u3042\u308b44\u30ab\u6240\u306e\u4e00\u822c\uff08\u5bb6\u5ead\u533b\u7642\uff09\u8a3a\u7642\u6240\uff0e
\nPARTICIPANTS
\n\u3000\u8a3a\u7642\u6240\u3092\u53d7\u8a3a\u3057\u305f65\u6b73\u4ee5\u4e0a\u306e\u6210\u4eba\uff0e
\nEXPOSURE
\n\u3000\u75c5\u9662\u3078\u306e\u5165\u9662\uff08\u5165\u9662\u7fa4 v.s. \u975e\u5165\u9662\u7fa4\uff0c\u5165\u9662\u524d v.s. \u9000\u9662\u5f8c\uff09
\nMAIN OUTCOME MEASURES
\n\u3000\u9ad8\u9f62\u8005\u306e\u51e6\u65b9\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u30c4\u30fc\u30ebScreening Tool for Older Persons\u2019 Prescription\uff08STOPP\uff09ver.2\u306e45\u306e\u57fa\u6e96\u3092\u7528\u3044\u3066\uff0c\u6f5c\u5728\u7684\u4e0d\u9069\u6b63\u51e6\u65b9\u304c\u5360\u3081\u308b\u5272\u5408\u3092\u7b97\u51fa\u3057\uff0c\u60a3\u8005\u7279\u6027\u3067\u88dc\u6b63\u3092\u884c\u3044\uff0c\u5c64\u5225\u5316Cox\u56de\u5e30\u5206\u6790\uff08\u660e\u3089\u304b\u306a\u6f5c\u5728\u7684\u4e0d\u9069\u6b63\u51e6\u65b9\u57fa\u6e96\u3092\u6e80\u305f\u3057\u305f\u767a\u751f\u7387\uff09\u3068\uff0c\u30ed\u30b8\u30b9\u30c6\u30a3\u30c3\u30af\u56de\u5e30\u5206\u6790\uff081\u4eba\u306e\u60a3\u8005\u306b\u3064\u3044\u3066\u6f5c\u5728\u7684\u4e0d\u9069\u6b63\u51e6\u65b9\u304c1\u56de\u4ee5\u4e0a\u767a\u751f\u3057\u305f\u304b\u5426\u304b\u306e2\u9805\u5024\u306b\u3088\u308b\uff09\u306e2\u901a\u308a\u3067\u5206\u6790\u3057\uff0c\u5165\u9662\u3068\u306e\u95a2\u9023\u3092\u691c\u8a3c\u3057\u305f\uff0e\u60a3\u8005\u7279\u6027\u3068\u8a3a\u65ad\u540d\u306b\u57fa\u3065\u304f\u50be\u5411\u30b9\u30b3\u30a2\u306b\u3088\u308a\u30de\u30c3\u30c1\u30f3\u30b0\u3092\u884c\u3044\uff0c\u611f\u5ea6\u5206\u6790\u3082\u884c\u3063\u305f\uff0e
\nRESULTS
\n\u3000\u5206\u6790\u306b\u306f3\u4e078,229\u4f8b\u304c\u5305\u542b\u3055\u308c\u305f\uff0e2012\u5e74\u6642\u70b9\u3067\u306e\u5e73\u5747\u5e74\u9f62\u306f76.8\u6b73\uff08SD 8.2\uff09\uff0c\u7537\u6027\u304c43.0\uff05\uff081\u4e073,212\u4f8b\uff09\u3060\u3063\u305f\uff0e\u5e74\u306b1\u56de\u4ee5\u4e0a\u5165\u9662\u3057\u305f\u60a3\u8005\u306e\u5272\u5408\u306f\uff0c10.4\uff05\uff082015\u5e74\uff0c3,015\/2\u4e079,077\u4f8b\uff09\uff5e15.0\uff05\uff082014\u5e74\uff0c4,537\/3\u4e07231\u4f8b\uff09\u3060\u3063\u305f\uff0e
\n\u3000\u6f5c\u5728\u7684\u4e0d\u9069\u6b63\u51e6\u65b9\u3092\u53d7\u3051\u305f\u60a3\u8005\u306e\u5272\u5408\u306f\uff0c2012\u5e74\u306e45.3\uff05\uff081\u4e073,940\/3\u4e07789\u4f8b\uff09\u304b\u30892015\u5e74\u306e51.0\uff05\uff081\u4e074,823\/2\u4e079,077\u4f8b\uff09\u306e\u7bc4\u56f2\u306b\u308f\u305f\u3063\u3066\u3044\u305f\uff0e
\n\u3000\u5e74\u9f62\u3084\u6027\u5225\uff0c\u51e6\u65b9\u85ac\u6570\uff0c\u4f75\u5b58\u75be\u60a3\uff0c\u533b\u7642\u4fdd\u967a\u306e\u7a2e\u985e\u3068\u306f\u95a2\u4fc2\u306a\u304f\uff0c\u5165\u9662\u306f\u660e\u3089\u304b\u306b\u6f5c\u5728\u7684\u4e0d\u9069\u6b63\u51e6\u65b9\u57fa\u6e96\u3092\u6e80\u305f\u3059\u5272\u5408\u304c\u9ad8\u304b\u3063\u305f\uff0e\u5165\u9662\u88dc\u6b63\u5f8c\u30cf\u30b6\u30fc\u30c9\u6bd4\uff08HR\uff09\u306f1.24\uff0895\uff05\u4fe1\u983c\u533a\u9593[CI]\uff1a1.20\uff5e1.28\uff09\u3060\u3063\u305f\uff0e
\n\u3000\u5165\u9662\u60a3\u8005\u306b\u3064\u3044\u3066\u307f\u308b\u3068\uff0c\u6f5c\u5728\u7684\u4e0d\u9069\u6b63\u51e6\u65b9\u306e\u767a\u751f\u7387\u306e\u5c24\u5ea6\u306f\uff0c\u60a3\u8005\u7279\u6027\u306b\u304b\u304b\u308f\u3089\u305a\uff0c\u9000\u9662\u5f8c\u306e\u307b\u3046\u304c\u5165\u9662\u524d\u3088\u308a\u3082\u4e0a\u6607\u3057\u305f\uff08\u88dc\u6b63\u5f8cOR\uff1a1.72\uff0c95\uff05CI\uff1a1.63\uff5e1.84\uff09\uff0e\u306a\u304a\uff0c\u50be\u5411\u30b9\u30b3\u30a2\u9069\u5408\u30da\u30a2\u5206\u6790\u3067\u3082\uff0c\u5165\u9662\u306b\u95a2\u3059\u308bHR\u306f\u308f\u305a\u304b\u306a\u6e1b\u5c11\u306b\u3068\u3069\u307e\u3063\u305f\uff08HR\uff1a1.22\uff0c95\uff05CI\uff1a1.18\uff5e1.25\uff09\uff0e
\nCONCLUSION
\n\u3000\u9ad8\u9f62\u8005\u306b\u3068\u3063\u3066\u5165\u9662\u306f\uff0c\u6f5c\u5728\u7684\u306a\u4e0d\u9069\u6b63\u51e6\u65b9\u306e\u72ec\u7acb\u95a2\u9023\u56e0\u5b50\u3067\u3042\u308b\u3053\u3068\u304c\u660e\u3089\u304b\u306b\u306a\u3063\u305f\uff0e\u5165\u9662\u304c\u9ad8\u9f62\u8005\u306e\u4e0d\u9069\u6b63\u51e6\u65b9\u306b\u3069\u306e\u3088\u3046\u306a\u5f71\u97ff\u3092\u53ca\u307c\u3057\u3066\u3044\u308b\u306e\u304b\uff0c\u307e\u305f\u5165\u9662\u306e\u6f5c\u5728\u7684\u6709\u5bb3\u6027\u3092\u6700\u5c0f\u9650\u3068\u3059\u308b\u65b9\u6cd5\u3092\u660e\u3089\u304b\u306b\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3042\u308b\uff0e<\/p>\n

\u3010\u958b\u50ac\u65e5\u30112018\u5e7412\u67085\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"

\u2015\u6587\u732e\u540d\u2015 Teresa P\u00e9rez, Frank Moriarty, Emma Wallace, Ronald McDowell, Patrick Redmond, Tom Fahey. Prevalence of p … \u7d9a\u304d\u3092\u8aad\u3080 \u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306b\u304a\u3051\u308b\u9ad8\u9f62\u8005\u306e\u5165\u9662\u306b\u95a2\u9023\u3059\u308b\u6f5c\u5728\u7684\u306a\u4e0d\u9069\u5207\u51e6\u65b9\u306e\u5f71\u97ff\uff1a\u7e26\u65ad\u7814\u7a76<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[23,11],"tags":[],"class_list":["post-1612","post","type-post","status-publish","format-standard","hentry","category-23","category-11"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1612","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1612"}],"version-history":[{"count":2,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1612\/revisions"}],"predecessor-version":[{"id":1616,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1612\/revisions\/1616"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1612"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1612"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1612"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}