Discharge instruction comprehension by older adults in the emergency department: A systematic review and meta‐analysis DOI
Adrian D. Haimovich,

Sydney Mulqueen,

Jossie Carreras‐Tartak

и другие.

Academic Emergency Medicine, Год журнала: 2024, Номер unknown

Опубликована: Сен. 12, 2024

Abstract Introduction Older adults are at high risk of adverse health outcomes in the post–emergency department (ED) discharge period. Prior work has shown that discharged older have variable understanding their instructions which may contribute to these outcomes. To identify comprehension gaps amenable future interventions, we utilize meta‐analysis determine patient across five domains instructions: diagnosis, medications, self‐care, routine follow‐up, and return precautions. Methods Using Preferred Reporting Items for Systematic Reviews Meta‐Analyses guidelines, two reviewers sourced evidence from databases including Medline (PubMed), EMBASE, Web Science, CINAHL, Google Scholar (for gray literature). Publications or preprints appearing before April 2024 were included if they focused on geriatric ED reported a proportion patients with least one predefined components. Meta‐analysis eligible studies each component was executed using random‐effects modeling describe cases instructions; where appropriate calculated pooled estimates, as percentages 95% confidence interval (CI). Results Of initial records returned ( N = 2898), exclusions based title abstract assessment left 51 full‐text review; these, seven constituted study set. Acceptable heterogeneity absence indication publication bias supported estimates proportions comprehending medications (41%, CI 31%–50%, I 2 43%), self‐care (81%, 76%–85%, follow‐up (76%, 72%–79%, 25%). Key findings marked respect parameters: diagnosis 73%) precautions 95%). Conclusions had greater than about medications. These suggest medication be priority domain interventions.

Язык: Английский

Reducing polypharmacy through deprescribing in the emergency department DOI Creative Commons
Hsiu‐Wu Yang, Ching-Hsiang Yu, Teng‐Yi Huang

и другие.

Medicine, Год журнала: 2025, Номер 104(10), С. e41590 - e41590

Опубликована: Март 7, 2025

Polypharmacy, the use of multiple medications, is a prevalent issue globally that contributes to increased healthcare costs and places additional burdens on patients' organs. This study aims deprescribe prevent polypharmacy in emergency department. We conducted retrospective review randomly selected medical records from Internal Medicine Department Taipei MacKay Emergency Department, spanning August 1, 2023, October 31, 2023. For cases identified as involving polypharmacy, pharmacists provided medication education using Team Resource Management Polypharmacy Interview Guide, while social workers contacted patients via phone recommend follow-up visits for deprescribing. Patients experiencing were significantly older than those appropriate regimens (79.8 vs 67.3 years, P = .002). After deprescribing interventions, average number medications was 5.9 higher receiving prescriptions (9.2 3.3, .001). The most common conditions associated with diabetes mellitus, hypertension, arrhythmia. poses significant management challenge, affected taking an 6.9 more treatment regimens. resource module our team successfully reduced incidence by 8.4%

Язык: Английский

Процитировано

0
Potentially Inappropriate Prescriptionss in End-of-Life Cancer Patients in Home-Based Hospice Care DOI Creative Commons
Junyong Lee, Chung-Woo Lee, Hwa Sun Kim

и другие.

Journal of Pain and Symptom Management, Год журнала: 2025, Номер unknown

Опубликована: Март 1, 2025

Polypharmacy and inappropriate prescribing are prevalent among end-of-life cancer patients, potentially compromising symptom management quality of life. Limited data available on medications (PIMs) omissions (PPOs) opioid in South Korea, particularly home-based hospice care settings. This study aimed to evaluate the prevalence PIMs PPOs advanced patients referred identify factors associated with these issues. A retrospective observational included 102 a single center's between November 2022 2023. were assessed using STOPPFrail criteria, while defined as inadequate for moderate severe pain. Logistic regression analysis identified PPOs. observed 40.2% higher those over 70 years old (48.7%) multiple comorbidities. Statins (25.5%) antihypertensives (29.4%) most common PIMs. Among pain, 45.5% experienced due prescriptions. Older age (OR 3.90, p < 0.01) comorbidities 20.90, significantly PIMs, diabetes was linked 2.00, = 0.01). The findings highlight critical gaps medication patients. Systematic deprescribing protocols improved strategies address stigma hesitancy essential align treatments goals enhance patient

Язык: Английский

Процитировано

0
Polypharmacy and potentially inappropriate medication (PIM) use among older veterans with idiopathic pulmonary fibrosis (IPF) – a retrospective cohort study DOI Creative Commons
Daniel M Guidot, Marc J. Pepin, Susan N. Hastings

и другие.

BMC Pulmonary Medicine, Год журнала: 2025, Номер 25(1)

Опубликована: Апрель 21, 2025

Язык: Английский

Процитировано

0
Epidemiology of Hypertension in Older Adults DOI
Alexander Chaitoff, Alexander R. Zheutlin

Clinics in Geriatric Medicine, Год журнала: 2024, Номер 40(4), С. 515 - 528

Опубликована: Май 28, 2024

Язык: Английский

Процитировано

1
Optimizing drug therapy for older adults: shifting away from problematic polypharmacy DOI Creative Commons
Ruth Daunt, Denis Curtin, Denis O’Mahony

и другие.

Expert Opinion on Pharmacotherapy, Год журнала: 2024, Номер 25(9), С. 1199 - 1208

Опубликована: Июнь 12, 2024

The accelerated discovery and production of pharmaceutical products has resulted in many positive outcomes. However, this progress also contributed to problematic polypharmacy, one the rapidly growing threats public health century. Problematic polypharmacy results adverse patient outcomes imposes increased strain financial burden on healthcare systems.

Язык: Английский

Процитировано

1
Perspectives on deprescribing in older people with type 2 diabetes and/or cardiovascular conditions: challenges from healthcare provider, patient and caregiver perspective and interventions to support a proactive approach DOI Creative Commons
Petra Denig, Peter J. C. Stuijt

Expert Review of Clinical Pharmacology, Год журнала: 2024, Номер 17(8), С. 637 - 654

Опубликована: Авг. 2, 2024

For people with type 2 diabetes and/or cardiovascular conditions, deprescribing of glucose-lowering, blood pressure-lowering lipid-lowering medication is recommended when they age, and their health status deteriorates. So far, rates these so-called cardiometabolic medications are low. A review challenges interventions addressing in this population pertinent.

Язык: Английский

Процитировано

1
Evaluation of drug prescriptions on hospital admission in older trauma patients using the Fit fOR The Aged (FORTA) rules DOI

Carla Stenmanns,

Henriette-Sophie Moellmann,

Martin Wehling

и другие.

Zeitschrift für Gerontologie und Geriatrie, Год журнала: 2024, Номер unknown

Опубликована: Сен. 26, 2024

Язык: Английский

Процитировано

1
Can an increase in nursing care complexity raise the risk of intra-hospital and intensive care unit transfers in children? A retrospective observational study DOI
Manuele Cesare, Antonello Cocchieri

Journal of Pediatric Nursing, Год журнала: 2024, Номер 80, С. 91 - 99

Опубликована: Ноя. 26, 2024

Язык: Английский

Процитировано

1
POLY-PHARMACYAND DRUG INTERACTIONS IN PATIENTS WITH COEXISTING DIABETES MELLITUS AND SYSTEMIC ARTERIAL HYPERTENSION DOI Creative Commons
Rebecca Caruana, Muhammad Furqan,

Anurag Rawat

и другие.

Опубликована: Фев. 22, 2024

Objective: This study aims to identify and report potential drug interactions (DIs) in the prescriptions of patients with both Systemic Arterial Hypertension (SAH) Diabetes Mellitus (DM) receiving treatment at Mayo Hospital Lahore Lahore. The focus is on understanding impact poly-pharmacy occurrence interactions. Methods: research involved analysis 50 medical records from coexisting SAH DM. Participants who did not provide data studied variables were excluded analysis. relationship between development was systematically examined. sheds light association quantity prescribed drugs frequency Results: Poly-pharmacy emerged as predominant risk factor for findings highlight a significant interactions, indicating that an increase number correlates higher emphasizes need further research, advocating well-designed, randomized studies enhance diagnosis, treatment, prevention this patient population. Conclusion: underscores critical role contributing among identified necessitates more comprehensive medication management. advocates future initiatives precision protocols improve overall quality life individuals

Язык: Английский

Процитировано

0
Prescription des interventions non médicamenteuses DOI Creative Commons

Mathilde Minet,

Rémy Boussageon, Emmanuel Coudeyre

и другие.

Kinésithérapie la Revue, Год журнала: 2024, Номер 24(270), С. 24 - 30

Опубликована: Апрель 18, 2024

Les interventions non médicamenteuses (INM) sont des protocoles normalisés de prévention et soin fondés sur données probantes. Une fois ces INM intégrées dans un Référentiel fiches standardisées selon processus rigoureux indépendant, restent à définir leurs conditions prescription, mise en œuvre suivi. L'article présente puis détaille les implications pratiques manques actuels. The non-pharmacological (NPIs) are evidence-based prevention and care protocols. Once these NPIs have been integrated into a shared registered system through rigorous independent process, the for prescribing, implementing monitoring them need to be defined. This article presents conditions, then details practical current shortcomings.

Процитировано

0