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Outcomes of a randomized controlled trial of a clinical pharmacy intervention in 52 nursing homes

Overview of attention for article published in British Journal of Clinical Pharmacology, July 2008
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (92nd percentile)
  • High Attention Score compared to outputs of the same age and source (92nd percentile)

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4 policy sources
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Citations

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185 Dimensions

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128 Mendeley
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Title
Outcomes of a randomized controlled trial of a clinical pharmacy intervention in 52 nursing homes
Published in
British Journal of Clinical Pharmacology, July 2008
DOI 10.1046/j.1365-2125.2001.00347.x
Pubmed ID
Authors

Michael S. Roberts, Julie A. Stokes, Michelle A. King, Teresa A. Lynne, David M. Purdie, Paul P. Glasziou, D. Andrew J. Wilson, Sean T. McCarthy, Geoffrey E. Brooks, Ferdinandus J. De Looze, Christopher B. Del Mar

Abstract

To evaluate whether a year long clinical pharmacy program involving development of professional relationships, nurse education on medication issues, and individualized medication reviews could change drug use, mortality and morbidity in nursing home residents. A cluster randomised controlled trial, where an intervention home was matched to three control homes, was used to examine the effect of the clinical pharmacy intervention on resident outcomes. The study involved 905 residents in 13 intervention nursing homes and 2325 residents in 39 control nursing homes in south-east Queensland and north-east New South Wales, Australia. The outcome measures were: continuous drug use data from government prescription subsidy claims, cross-sectional drug use data on prescribed and administered medications, deaths and morbidity indices (hospitalization rates, adverse events and disability indices). This intervention resulted in a reduction in drug use with no change in morbidity indices or survival. Differences in nursing home characteristics, as defined by cluster analysis with SUDAAN, negated intervention-related apparent significant improvements in survival. The use of benzodiazepines, nonsteroidal anti-inflammatory drugs, laxatives, histamine H2-receptor antagonists and antacids was significantly reduced in the intervention group, whereas the use of digoxin and diuretics remained similar to controls. Overall, drug use in the intervention group was reduced by 14.8% relative to the controls, equivalent to an annual prescription saving of A64 dollars per resident (approximately 25 pound sterling). This intervention improved nursing home resident outcomes related to changes in drug use and drug-related expenditure. The continuing divergence in both drug use and survival at the end of the study suggests that the difference would have been more significant in a larger and longer study, and even more so using additional instruments specific for measuring outcomes related to changes in drug use.

X Demographics

X Demographics

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 128 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 3 2%
United Kingdom 2 2%
United States 2 2%
Australia 1 <1%
Germany 1 <1%
Spain 1 <1%
Italy 1 <1%
Unknown 117 91%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 23 18%
Student > Master 21 16%
Researcher 14 11%
Student > Doctoral Student 14 11%
Student > Bachelor 11 9%
Other 25 20%
Unknown 20 16%
Readers by discipline Count As %
Medicine and Dentistry 43 34%
Pharmacology, Toxicology and Pharmaceutical Science 28 22%
Nursing and Health Professions 6 5%
Psychology 6 5%
Social Sciences 5 4%
Other 14 11%
Unknown 26 20%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 15. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 May 2020.
All research outputs
#2,348,908
of 24,633,436 outputs
Outputs from British Journal of Clinical Pharmacology
#611
of 5,397 outputs
Outputs of similar age
#6,282
of 87,157 outputs
Outputs of similar age from British Journal of Clinical Pharmacology
#4
of 51 outputs
Altmetric has tracked 24,633,436 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 90th percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 5,397 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.9. This one has done well, scoring higher than 88% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 87,157 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 92% of its contemporaries.
We're also able to compare this research output to 51 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 92% of its contemporaries.