Impact of hospitalization on potentially inappropriate prescribing: a cross-sectional study in an acute geriatric hospital in Lithuania

被引:4
作者
Grina, Donatas [1 ]
Karpaviciute, Justina [2 ]
Minkute, Rima [1 ]
Briedis, Vitalis [1 ]
机构
[1] Lithuanian Univ Hlth Sci, Dept Clin Pharm, Kaunas, Lithuania
[2] Lithuanian Univ Hlth Sci, Dept Oncol & Hematol, Kaunas, Lithuania
关键词
Hospital admission; Hospital discharge; Lithuania; Potentially inappropriate medications; Prescribing; Prescribing omissions; STOPP/START CRITERIA; SCREENING TOOL; ALERT DOCTORS; UNIT; PRESCRIPTIONS; PREVALENCE;
D O I
10.1007/s11096-020-01035-y
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Background Potentially inappropriate prescribing is frequent among elderly patients admitted to hospitals in many countries. However, the impact of hospitalization on potentially inappropriate medications and potential prescribing omissions has not been studied in depth. Objective This study aimed to investigate the impact of hospitalization on the prevalence of potentially inappropriate medications and potential prescribing omissions among elderly patients admitted to and discharged from an acute care geriatric clinic. Setting Geriatric wards of a teaching hospital in Lithuania. Method This observational cross-sectional study included 76 subjects aged >= 65 years. The Beers 2015 Criteria, the EU(7)-PIM list, and the second versions of the Screening Tool of Older Person's Prescriptions and the Screening Tool to Alert doctors to Right Treatment were applied to detect potentially inappropriate medications and potential prescribing omissions. Data were extracted from patient's medical records. Main outcome measure Prevalence of potentially inappropriate medications and potential prescribing omissions on hospital admission and hospital discharge. Results Potentially inappropriate medications were identified among 44.7% to 69.7% of patients upon hospital admission and 59.2% to 72.4% upon hospital discharge. The prevalence of potentially inappropriate medications had increased upon discharge based on each set of criteria. Potential prescribing omissions were detected in 93.4% of patients at admission and 96.1% of patients at discharge. Conclusion Potentially inappropriate prescribing is highly prevalent among older patients hospitalized in the studied setting in Lithuania and hospitalization had not reduced potentially inappropriate medications and potential prescribing omissions. There is a need for interventions aiming to reduce potentially inappropriate prescribing among elderly patients.
引用
收藏
页码:903 / 910
页数:8
相关论文
共 24 条
[1]   Influence of hospitalization on potentially inappropriate prescribing among elderly patients in a Malaysian community [J].
Akkawi, Muhammad Eid ;
Mohamed, Mohamad Haniki Nik .
TROPICAL JOURNAL OF PHARMACEUTICAL RESEARCH, 2018, 17 (01) :151-160
[2]   Potentially inappropriate prescribing in elderly patient: analyze before/after hospitalization [J].
Argoullon, Ludovic ;
Manciaux, Marie-Agnes ;
Valance, Aude ;
Bonneville, Amelie .
GERIATRIE ET PSYCHOLOGIE NEUROPSYCHIATRIE DE VIEILLISSEMENT, 2018, 16 (02) :155-163
[3]   Inappropriate prescribing for older people admitted to an intermediate-care nursing home unit and hospital wards [J].
Bakken, Marit Stordal ;
Ranhoff, Anette Hylen ;
Engeland, Anders ;
Ruths, Sabine .
SCANDINAVIAN JOURNAL OF PRIMARY HEALTH CARE, 2012, 30 (03) :169-175
[4]   START (screening tool to alert doctors to the right treatment)an evidence-based screening tool to detect prescribing omissions in elderly patients [J].
Barry, P. J. ;
Gallagher, P. ;
Ryan, C. ;
O'Mahony, D. .
AGE AND AGEING, 2007, 36 (06) :632-638
[5]  
Eurostat Statistics Explained, CARD DIS STAT
[6]   American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults [J].
Fick, Donna M. ;
Semla, Todd P. ;
Steinman, Michael ;
Beizer, Judith ;
Brandt, Nicole ;
Dombrowski, Robert ;
DuBeau, Catherine E. ;
Pezzullo, Lynn ;
Epplin, Jerome J. ;
Flanagan, Nina ;
Morden, Emily ;
Hanlon, Joseph ;
Hollmann, Peter ;
Laird, Rosemary ;
Linnebur, Sunny ;
Sandhu, Satinderpal .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2019, 67 (04) :674-694
[7]   2012 American Geriatrics Society Beers Criteria: New Year, New Criteria, New Perspective [J].
Fick, Donna M. ;
Semla, Todd P. .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2012, 60 (04) :614-615
[8]   The impact of hospitalization on potentially inappropriate prescribing in an acute medical geriatric division [J].
Frankenthal, Dvora ;
Lerman, Yaffa ;
Lerman, Yehuda .
INTERNATIONAL JOURNAL OF CLINICAL PHARMACY, 2015, 37 (01) :60-67
[9]  
Gallagher P, 2008, INT J CLIN PHARM TH, V46, P72
[10]   Prevalence of potentially inappropriate prescribing in an acutely ill population of older patients admitted to six European hospitals [J].
Gallagher, Paul ;
Lang, Pierre Olivier ;
Cherubini, Antonio ;
Topinkova, Eva ;
Cruz-Jentoft, Alfonso ;
Errasquin, Beatriz Montero ;
Madlova, Pavla ;
Gasperini, Beatrice ;
Baeyens, Hilde ;
Baeyens, Jean-Pierre ;
Michel, Jean-Pierre ;
O'Mahony, Denis .
EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY, 2011, 67 (11) :1175-1188