我们饶有兴趣地读了Bates和他的同事在《档案》杂志上的文章。作者对一系列平均年龄小于60岁的住院病人进行了药物不良事件危险因子的研究后得出病人的部分特点,特别是高龄和多种药物联合治疗,不应该用作危险分层。另外他们提到,肾功能损害是一个相对来说并不常见的问题。药物不良反应已成为老年病人的一个主要问题,因为这些病人是西方国家药物消费的主要群体,而药物不良反应在这组最脆弱的人群中的表现也最严重。 We read with great interest Bates and his colleagues’ articles in Archives. The authors of a series of in-patients who were under 60 years of age on average studied adverse drug risk factors and concluded that some of the patient’s characteristics, particularly those of older age and multiple drugs, should not be used as a risk stratification. In addition, they mentioned that kidney damage is a relatively uncommon problem. Adverse drug reactions have become a major problem for older patients because these patients are the major group for drug consumption in Western countries and the adverse drug reactions are most severe among the most vulnerable groups in this group.