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K N van Dijk, D Z B van Asselt, D Vogel

    Tijdschrift Voor Gerontologie En Geriatrie
    |December 4, 2012
    PubMed
    Summary
    This summary is machine-generated.

    Structured medication reviews by geriatricians and clinical pharmacologists significantly improved pharmacotherapy for frail elderly inpatients. This collaborative approach led to numerous medication adjustments, enhancing patient care and safety.

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    Area of Science:

    • Geriatrics
    • Clinical Pharmacology
    • Internal Medicine

    Background:

    • Polypharmacy is common in frail elderly inpatients, increasing the risk of adverse drug events.
    • Optimizing medication regimens is crucial for improving health outcomes in this vulnerable population.

    Purpose of the Study:

    • To evaluate the impact of a structured medication review by geriatricians and clinical pharmacologists on the appropriateness of pharmacotherapy in frail elderly inpatients.
    • To assess the acceptance rate of recommendations made during collaborative medication reviews.

    Main Methods:

    • A prospective study involving frail elderly inpatients on a geriatric ward.
    • Medication and medical problems were reviewed using a screening form.
    • Recommendations were discussed and finalized in a bi-weekly gerontopharmacologic meeting (GFO).

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    Main Results:

    • Over 30 months, 184 patients were discussed in 44 GFO meetings, resulting in 206 recommendations.
    • Geriatricians accepted 65% (134/206) of the recommended interventions.
    • Common interventions included stopping (64/206), adjusting dosage (60/206), or switching medications (44/206).

    Conclusions:

    • Structured medication review by geriatricians and clinical pharmacologists effectively identified necessary medication changes in frail elderly inpatients.
    • Nearly two-thirds of recommendations were implemented, highlighting the value of interdisciplinary collaboration.
    • Logistic or patient-related factors prevented the implementation of 35% of recommendations.