Your browser doesn't support javascript.
loading
Evaluation of a multifaceted medication review in older patients in the outpatient setting: a before-and-after study.
Zwietering, N A; Linkens, A E M J H; van der Kuy, P H M; Cremers, H; van Nie-Visser, N; Hurkens, K P G M; Spaetgens, Bart.
Afiliación
  • Zwietering NA; Department of Geriatric Medicine, Laurentius Hospital, Roermond, The Netherlands. annezwietering@hotmail.nl.
  • Linkens AEMJH; Department of Hospital Pharmacy, Erasmus Medical Centre, Rotterdam, The Netherlands. annezwietering@hotmail.nl.
  • van der Kuy PHM; Department of Internal Medicine, Geriatric Medicine, Zuyderland Medical Centre, PO box 5500, 6130 MB, Sittard, Geleen, The Netherlands. annezwietering@hotmail.nl.
  • Cremers H; Department of Internal Medicine, Geriatric Medicine, Maastricht University Medical Centre, Maastricht, The Netherlands.
  • van Nie-Visser N; Department of Hospital Pharmacy, Erasmus Medical Centre, Rotterdam, The Netherlands.
  • Hurkens KPGM; Department of Clinical Pharmacy, Pharmacology and Toxicology, Zuyderland Medical Centre, Sittard, Geleen, The Netherlands.
  • Spaetgens B; Innovation and Funding (Scientific Research), Zuyderland Medical Centre, Sittard, Geleen, The Netherlands.
Int J Clin Pharm ; 45(2): 483-490, 2023 Apr.
Article en En | MEDLINE | ID: mdl-36745311
BACKGROUND: The prevalence of medication-related emergency department visits and acute hospital admissions in older patients is rising due to the ageing of the population and increasing prevalence of multimorbidity and associated polypharmacy. AIM: To explore whether a combined medication review performed in the outpatient setting reduces the number of medication-related emergency department visits and hospital (re)admissions. METHOD: All consecutive patients visiting the geriatric outpatient clinic underwent a multifaceted medication review (i.e. evaluation by at least a geriatrician, and/or pharmacist and use of clinical decision support system). Subsequently, we analysed the number of, and reason for, emergency department visits, acute hospital admissions and readmissions in the year prior to and the year following the index-date (date of first presentation and medication review). RESULTS: A multifaceted medication review reduced the number of potentially medication-related emergency department visits (38.9% vs. 19.6%, p < 0.01), although the total number of ED visits or acute hospital admissions per patient in the year before and after medication review did not differ. CONCLUSION: A multifaceted medication review performed in the outpatient clinic reduced the number of potentially medication-related emergency department visits and could therefore reduce negative health outcomes and healthcare costs.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pacientes Ambulatorios / Revisión de Medicamentos Tipo de estudio: Evaluation_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Humans Idioma: En Revista: Int J Clin Pharm Año: 2023 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pacientes Ambulatorios / Revisión de Medicamentos Tipo de estudio: Evaluation_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Humans Idioma: En Revista: Int J Clin Pharm Año: 2023 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Países Bajos