Potentially inappropriate medications (PIMs) in older hospital in-patients: Prevalence, contribution to hospital admission and documentation of rationale for continuation.
Australas J Ageing
; 35(4): 262-265, 2016 Dec.
Article
em En
| MEDLINE
| ID: mdl-26970209
ABSTRACT
AIM:
To establish prevalence, sequelae and documentation of potentially inappropriate medication (PIM) use in older hospital in-patients.METHODS:
Notes of all patients ≥65 years old, admitted to our tertiary teaching hospital (January 2013), were retrospectively reviewed, and the Screening Tool of Older Persons' potentially inappropriate Prescriptions applied.RESULTS:
Amongst 534 patients, 54.8% (284) were on ≥1 PIM at admission, 26.8% on multiple; 60.8% were discharged on a PIM. Six percent of all admissions were potentially attributable to a PIM; falls associated with risk therapies were commonest (23/30), and often (65.2%) associated with serious injury. Pre-specified subgroup analysis (n = 100) identified 101 PIMs-at-discharge amongst 47 patients. In 82.2%, a clinical rationale for continued prescription was documented, with this communicated to the GP by letter in 71.1%.CONCLUSION:
PIMs were common, and contributed to admission and injury. Hospitalisation provides an opportunity for medication rationalisation, and documentation of rationale for any PIM use.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Assunto principal:
Admissão do Paciente
/
Serviço de Farmácia Hospitalar
/
Prontuários Médicos
/
Prescrição Inadequada
/
Lista de Medicamentos Potencialmente Inapropriados
/
Controle de Formulários e Registros
/
Hospitais de Ensino
/
Pacientes Internados
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
País/Região como assunto:
Oceania
Idioma:
En
Revista:
Australas J Ageing
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Austrália