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Published on: September 30, 2020
Medication use patterns among older patients in temporary stays in Denmark
Hanin Harbi1,2, Carina Lundby1,2, Peter Bjødstrup Jensen1
1Clinical Pharmacology, Pharmacy and Environmental Medicine, Department of Public Health, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.
Patients in temporary stays use many medications, with a significant increase in new prescriptions, including high-risk drugs, after moving into these facilities. This highlights a critical need for medication management in this population.
Area of Science:
- Geriatric pharmacology
- Health services research
- Medication safety
Background:
- Temporary stay units serve older adults with frailty and multiple health conditions.
- Understanding medication use patterns in this population is crucial but limited.
- This study addresses the knowledge gap regarding prescription drug utilization in Danish temporary stays.
Purpose of the Study:
- To describe prescription drug use among patients admitted to temporary stay units in Denmark.
- To identify patterns of medication initiation and changes around the time of transfer to temporary care.
Main Methods:
- A drug utilization study involving 11,424 patients in temporary stay units across 14 Danish municipalities (2016-2023).
- Utilized prescription data from the Danish National Prescription Registry.
- Analyzed medication use in the four months prior to and following admission to temporary stay.
Main Results:
- Patients used a median of six drug classes pre-admission, with 68% using five or more.
- Medication use intensified post-admission, with a sharp increase in new drug initiations, particularly laxatives, analgesics, and antibiotics.
- High-risk drug use rose from 70% to 83%, with 49% initiating new high-risk medications like opioids and anticoagulants.
Conclusions:
- Patients in Danish temporary stays exhibit substantial medication burdens, including high-risk drugs.
- A notable increase in medication initiation occurs around the transition to temporary care.
- Findings underscore the importance of comprehensive medication review and management for this vulnerable patient group.
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