Potentially inappropriate medications at discharge among elderly patients at a single tertiary emergency medical institution in Japan: a retrospective cross‐sectional observational study
| العنوان: | Potentially inappropriate medications at discharge among elderly patients at a single tertiary emergency medical institution in Japan: a retrospective cross‐sectional observational study |
|---|---|
| المؤلفون: | Shoji Suzuki, Yuri Ishii, Shiro Mishima, Kazunari Azuma, Jun Oda, Kenta Aida |
| المصدر: | Acute Medicine & Surgery, Vol 8, Iss 1, Pp n/a-n/a (2021) Acute Medicine & Surgery |
| بيانات النشر: | Wiley, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Medical institution, medicine.medical_specialty, business.industry, RC86-88.9, General Engineering, Potentially Inappropriate Medications, Medical emergencies. Critical care. Intensive care. First aid, Original Articles, screening tool of older persons’ potentially inappropriate prescriptions, intensive care unit, Critical care, potentially inappropriate medication, hemic and lymphatic diseases, Emergency medicine, medicine, Observational study, Original Article, polypharmacy, business |
| الوصف: | Aim Potentially inappropriate medications (PIMs) are associated with a lower medication adherence and a higher incidence of adverse events and medical costs among elderly patients. The current study aimed to examine the prescription status of elderly patients transported to tertiary emergency medical institutions to compare the proportion of elderly patients using PIMs at admission and discharge and to investigate the characteristics of PIMs at discharge and their associated factors. Methods In total, 264 patients aged 75 years or older who were transferred to and discharged from the emergency room at Tokyo Medical University Hospital, a tertiary care hospital, from September 2018 to August 2019 were included in this study. We quantified the number of PIMs at admission and discharge based on the Screening Tool of Older Persons’ Potentially Inappropriate Prescriptions (STOPP) criteria version 2. The primary outcomes were the proportion of elderly patients taking at least one PIM at admission and discharge. Results The proportions of patients taking PIMs at admission and discharge were 55% (n = 175) and 28% (n = 74), respectively. Old age, greater number of PIMs at admission, and greater number of medications at discharge were directly associated with PIMs at discharge. Conclusions Admission to tertiary care hospitals resulted in a lower number of prescribed PIMs. Elderly patients with a higher number of PIMs at admission and higher number of medications at discharge might have been prescribed with PIMs. Elderly patients with a higher number of potentially inappropriate medications at admission and higher number of medications at discharge might have been prescribed with potentially inappropriate medications. |
| اللغة: | English |
| تدمد: | 2052-8817 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::edd8bda3c426cea99d9caf0b195d2f62 https://doaj.org/article/8d62630d31e74069a682ac41eaeeed9f |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....edd8bda3c426cea99d9caf0b195d2f62 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20528817 |
|---|