Polypharmacy - we make it worse! A cross-sectional study from an acute admissions unit

被引:26
作者
Betteridge, T. M. [1 ]
Frampton, C. M. [2 ]
Jardine, D. L. [1 ]
机构
[1] Christchurch Hosp, Dept Gen Med, Christchurch, New Zealand
[2] Univ Otago, Christchurch Sch Med & Hlth Sci, Dept Med, Christchurch, New Zealand
关键词
polypharmacy; adverse drug reaction; inappropriate prescribing; ADVERSE DRUG-REACTIONS; DISCREPANCIES; POPULATION;
D O I
10.1111/j.1445-5994.2011.02690.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Although polypharmacy is a major problem in the elderly, very few data have been published from Australasia. We retrospectively audited 68% of elderly patients admitted acutely to our medical unit (n= 424, mean age 80.3 +/- 8 years) during a 30-day period (September, 2008). We found that long-term medications increased during hospital stay from 6.6 +/- 4 to 7.7 +/- 4 (P < 0.001). Adverse drug reactions were responsible for 24 admissions (5.7%). Polypharmacy is made worse by acute admission to hospital.
引用
收藏
页码:208 / 211
页数:4
相关论文
共 20 条
  • [1] Ashley-Jones C, 2009, NATL POPULATION PROJ, P1
  • [2] Barry M, 2001, IRAN MED J, V95, P294
  • [3] START (screening tool to alert doctors to the right treatment)an evidence-based screening tool to detect prescribing omissions in elderly patients
    Barry, P. J.
    Gallagher, P.
    Ryan, C.
    O'Mahony, D.
    [J]. AGE AND AGEING, 2007, 36 (06) : 632 - 638
  • [4] Hospitalisations caused by adverse drug reactions (ADR): a meta-analysis of observational studies
    Beijer, HJM
    de Blaey, CJ
    [J]. PHARMACY WORLD & SCIENCE, 2002, 24 (02): : 46 - 54
  • [5] Brvar M, 2009, BMC CLIN PHARM, V4, P9
  • [6] Potentially inappropriate prescribing and cost outcomes for older people: a national population study
    Cahir, Caitriona
    Fahey, Tom
    Teeling, Mary
    Teljeur, Conor
    Feely, John
    Bennett, Kathleen
    [J]. BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 2010, 69 (05) : 543 - 552
  • [7] A systematic review of discharge coding accuracy
    Campbell, SE
    Campbell, MK
    Grimshaw, JM
    Walker, AE
    [J]. JOURNAL OF PUBLIC HEALTH MEDICINE, 2001, 23 (03): : 205 - 211
  • [8] Posthospital medication discrepancies - Prevalence and contributing factors
    Coleman, EA
    Smith, JD
    Raha, D
    Min, SJ
    [J]. ARCHIVES OF INTERNAL MEDICINE, 2005, 165 (16) : 1842 - 1847
  • [9] Corsonello Andrea, 2007, Ther Clin Risk Manag, V3, P197, DOI 10.2147/tcrm.2007.3.1.197
  • [10] Inappropriate prescribing in an acutely ill population of elderly patients as determined by Beers Criteria
    Gallagher, Paul F.
    Barry, Pat J.
    Ryan, Cristin
    Hartigan, Irene
    O'Mahony, Denis
    [J]. AGE AND AGEING, 2008, 37 (01) : 96 - 101