Clinical pharmacist implementation of a medication assessment tool for long-term management of atrial fibrillation in older persons
Pharm. pract. (Granada, Internet)
; 17(1): 0-0, ene.-mar. 2019. tab
Artigo
em Inglês
| IBECS
| ID: ibc-184606
Biblioteca responsável:
ES1.1
Localização: BNCS
ABSTRACT
Background:
Optimisation of drug therapy is important in the older population and may be facilitated by medication assessment tools (MATs).Objective:
The purpose of the study was to evaluate whether appropriateness of drug therapy and clinical pharmacist intervention documentation improved following implementation of a previously developed MAT for the long-term management of atrial fibrillation (MAT-AF).Methods:
Adherence to MAT-AF review criteria and clinical pharmacist intervention documentation was assessed by the researcher pre-MAT implementation in 150 patients aged ≥60 years admitted to a rehabilitation hospital with a diagnosis of atrial fibrillation. MAT-AF was introduced as a clinical tool in the hospital for identification of pharmaceutical care issues in atrial fibrillation patients. Adherence to MAT-AF and pharmacist intervention documentation were assessed by the researcher post-MAT implementation for a further 150 patients with the same inclusion criteria. Logistic regression analysis and measurement of odds ratio was used to identify differences in adherence to MAT-AF pre- and post-MAT implementation. The differences between two population proportions z-test was used to compare pharmacist intervention documentation pre- and post-MAT implementation.Results:
Adherence to MAT-AF criteria increased from 70.9% pre-implementation to 89.6% post-implementation. MAT-AF implementation resulted in a significant improvement in prescription of anticoagulant therapy (OR 4.07, p<0.001) and monitoring of laboratory parameters for digoxin (OR 10.40, p<0.001). Clinical pharmacist intervention documentation improved significantly post-implementation of MAT-AF (z-score 20.249, p<0.001).Conclusions:
Implementation of MAT-AF within an interdisciplinary health care team significantly improved the appropriateness of drug therapy and pharmacist intervention documentation in older patients with atrial fibrillationRESUMEN
No disponible
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Fibrilação Atrial
/
Revisão de Uso de Medicamentos
/
Conduta do Tratamento Medicamentoso
/
Prescrição Inadequada
Limite:
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Pharm. pract. (Granada, Internet)
Ano de publicação:
2019
Tipo de documento:
Artigo
Instituição/País de afiliação:
Karin Grech Hospital/Malta
/
University of Malta/Malta