Title |
Prescribing for older people discharged from the acute sector to residential aged‐care facilities
|
---|---|
Published in |
Internal Medicine Journal, October 2014
|
DOI | 10.1111/imj.12553 |
Pubmed ID | |
Authors |
P. Hopcroft, N. M. Peel, A. Poudel, I. A. Scott, L. C. Gray, R. E. Hubbard |
Abstract |
For frail older people, admission to hospital is an opportunity to review the indications for specific medications. This research investigates prescribing for 206 older people discharged into residential aged care facilities from 11 acute care hospitals in Australia. Patients had multiple comorbidities (mean 6), high levels of dependency, and were prescribed a mean of 7.2 regular medications at admission to hospital and 8.1 medications on discharge, with hyper-polypharmacy (≥10 drugs) increasing from 24.3% to 32.5%. Many drugs were preventive medications whose time until benefit was likely to exceed the expected lifespan. In summary, frail patients continue to be exposed to extensive polypharmacy and medications with uncertain risk-benefit ratio. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 4 | 50% |
Australia | 1 | 13% |
Unknown | 3 | 38% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 6 | 75% |
Practitioners (doctors, other healthcare professionals) | 2 | 25% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 1 | 3% |
Unknown | 34 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 7 | 20% |
Student > Ph. D. Student | 6 | 17% |
Student > Master | 4 | 11% |
Researcher | 4 | 11% |
Other | 3 | 9% |
Other | 7 | 20% |
Unknown | 4 | 11% |
Readers by discipline | Count | As % |
---|---|---|
Nursing and Health Professions | 9 | 26% |
Medicine and Dentistry | 8 | 23% |
Pharmacology, Toxicology and Pharmaceutical Science | 7 | 20% |
Social Sciences | 3 | 9% |
Computer Science | 1 | 3% |
Other | 1 | 3% |
Unknown | 6 | 17% |