Evaluation of a multifaceted medication review in older patients in the outpatient setting : a before-and-after study
© 2023. The Author(s)..
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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:45 |
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| Enthalten in: |
International journal of clinical pharmacy - 45(2023), 2 vom: 06. Apr., Seite 483-490 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Zwietering, N A [VerfasserIn] |
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| Links: |
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| Themen: |
80 and over |
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| Anmerkungen: |
Date Completed 08.05.2023 Date Revised 09.08.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s11096-022-01531-3 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM352553081 |
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| 100 | 1 | |a Zwietering, N A |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Evaluation of a multifaceted medication review in older patients in the outpatient setting |b a before-and-after study |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
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| 500 | |a Date Completed 08.05.2023 | ||
| 500 | |a Date Revised 09.08.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023. The Author(s). | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 520 | |a 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) | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 650 | 4 | |a Evaluation Study | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a 80 and over | |
| 650 | 4 | |a Aged–Aged | |
| 650 | 4 | |a Drug Utilization Review | |
| 650 | 4 | |a Frail Elderly | |
| 650 | 4 | |a Polypharmacy | |
| 700 | 1 | |a Linkens, A E M J H |e verfasserin |4 aut | |
| 700 | 1 | |a van der Kuy, P H M |e verfasserin |4 aut | |
| 700 | 1 | |a Cremers, H |e verfasserin |4 aut | |
| 700 | 1 | |a van Nie-Visser, N |e verfasserin |4 aut | |
| 700 | 1 | |a Hurkens, K P G M |e verfasserin |4 aut | |
| 700 | 1 | |a Spaetgens, Bart |e verfasserin |4 aut | |
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