Effects of polypharmacy assessment and intervention on the elderly inpatients
10.3760/cma.j.jssn.1673-4904.2016.10.011
- VernacularTitle:多重用药评估及干预对老年住院患者的影响
- Author:
Chenghua LU
;
Dan LU
;
Jing ZHANG
;
Xin JIN
- Publication Type:Journal Article
- Keywords:
Aged;
Inpatients;
Intervention studies;
Medication appropriateness index;
Beers criteria
- From:
Chinese Journal of Postgraduates of Medicine
2016;39(10):898-901
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of polypharmacy assessment and intervention on elderly inpatients mainly in both economy and safety. Methods One hundred and forty elderly inpatients were selected. Fifty patients took less than 5 drugs, 75 patients took 5- 9 drugs, and 15 patients took more than 10 drugs. According to medication appropriateness index (MAI) and Beers criteria, the polypharmacy of elderly inpatients was assessed and intervened. The results were compared before and after intervention. Results The discrepancy rate of Beers criteria, incidence of potential risk, total scores of prescription MAI and average daily drug cost after intervention were significantly lower than that before intervention: 7.14% (10/140) vs. 16.43% (23/140), 22.14% (31/140) vs. 90.71%(127/140), 0(0,0)scores vs. 6.00(2.25,10.00)scores and (30.60 ± 19.71) yuan vs. (35.34 ± 26.84) yuan, and there were statistical differences (P<0.01 or <0.05). Conclusions Irregular medication exists widely in elderly patients, and the polypharmacy assessment and intervention can lighten the financial burden of elderly patients and improve the safety of drug therapy.
