scholarly journals Elderly People With Drug-Related Problems Identified in the Emergency Department: Impact of Therapeutic Complexity on Consultations to the Health System

SAGE Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. 215824402092437
Author(s):  
Jesus Ruiz Ramos ◽  
Ana María Juanes Borrego ◽  
Marta Blazquez Andion ◽  
Maria Antonia Mangues Bafalluy ◽  
Mireia Puig Campmany
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Emergency Service ◽  
Care Center ◽  
Drug Related Problems ◽  
Medication Regimen ◽  
Health Care Center ◽  
Medication Regimen Complexity ◽  
Regimen Complexity ◽  
Medication Complexity

Different scales have been validated to assess the medication regimen complexity. However, the effect of this complexity on the risk of health care center consultations in patients with drug-related problems is unknown. This study’s objective is to evaluate the association between the Medication Regimen Complexity Index (MCRI) and the number of drugs prescribed and new consultations to the health care system in patients who visit an emergency service due to drug-related problems. This is a retrospective observational study. We included patients >65 years who attended in an emergency service for drug-related problems. To identify variables associated with health care center reconsultation, a multivariate analysis was performed, including demographic and comorbidity variables, number of drugs prescribed, and MCRI value. Two hundred and one patients were included. A significant association was found between the prescription of more than five drugs (odds ratio [OR] = 2.50, 95% confidence interval [CI] = [1.08, 5.79]), an MCRI > 20 (2.98 [1.46–6.09]), and an increase in the number of drugs prescribed (2.87 [1.57–5.21]) and its MCRI (2.06 [1.13–3.77]) at discharge and a new visit to the emergency department. An association was found between the prescription of more than five drugs, an MCRI > 20, an increase in the number of drugs, and in MCRI value at discharge and a new visit to any other health care center. The number of prescribed drugs and the medication complexity of patients who visit the emergency department for drug-related problems was associated with an increase in the number of revisits to the emergency department and to other health care centers.

Medication Regimen Complexity in Patients Receiving Consultant Pharmacy Services in Home Health Care

2020 ◽  
Vol 35 (2) ◽  
pp. 81-84
Author(s):  
Megan Lenz ◽  
Jeffrey A. Clark ◽  
Brian J. Gates
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Adverse Drug Events ◽  
Hospital Readmissions ◽  
Home Health ◽  
Medication Regimen ◽  
Medication Regimen Complexity ◽  
Regimen Complexity ◽  
Medication Complexity ◽  
High Level

An interprofessional, team-based approach has become common in a variety of settings. However, consultant pharmacist participation in home health care (HHC) has been limited. To evaluate a potential need for pharmacists in HHC, the objective of this project was to document the medication complexity of patients seen by an established HHC consultant pharmacist service. This retrospective review reports on medication regimen complexity in 79 patients receiving this service using the Patient-Level Medication Regimen Complexity Index (MRCI) tool. The average MRCI score was 30 (± 15 standard deviation), suggesting a high level of medication regimen complexity in this population. High scores have been correlated with increased potential adverse drug events, 30-day hospital readmissions, and reduced adherence. Further research is needed for both the utilization of consultant pharmacists in HHC and the use of MRCI in identifying HHC patients needing pharmacist services.

Medication Regimen Complexity in Patients Receiving Consultant Pharmacy Services in Home Health Care

2020 ◽  
Vol 35 (2) ◽  
pp. 81-84
Author(s):  
Megan Lenz ◽  
Jeffrey A. Clark ◽  
Brian J. Gates
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Adverse Drug Events ◽  
Hospital Readmissions ◽  
Home Health ◽  
Medication Regimen ◽  
Medication Regimen Complexity ◽  
Regimen Complexity ◽  
Medication Complexity ◽  
High Level

An interprofessional, team-based approach has become common in a variety of settings. However, consultant pharmacist participation in home health care (HHC) has been limited. To evaluate a potential need for pharmacists in HHC, the objective of this project was to document the medication complexity of patients seen by an established HHC consultant pharmacist service. This retrospective review reports on medication regimen complexity in 79 patients receiving this service using the Patient-Level Medication Regimen Complexity Index (MRCI) tool. The average MRCI score was 30 (± 15 standard deviation), suggesting a high level of medication regimen complexity in this population. High scores have been correlated with increased potential adverse drug events, 30-day hospital readmissions, and reduced adherence. Further research is needed for both the utilization of consultant pharmacists in HHC and the use of MRCI in identifying HHC patients needing pharmacist services.

scholarly journals Polypharmacy and high Medication Regimen Complexity Index in the elderly assisted in primary health care / Polifarmácia e Índice de Complexidade Farmacoterapêutico elevado em idosos atendidos na atenção básica de saúde / Polifarmacia y alto Índice de Complejidad Farmacoterapéutica en personas mayores asistidas en la atención..

2020 ◽  
Vol 9 ◽  
Author(s):  
Kananda Pizano De Freitas ◽  
Márcia Regina Martins Alvarenga
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
The Elderly ◽  
Medication Regimen ◽  
Medication Regimen Complexity ◽  
Primary Health ◽  
Complexity Index ◽  
Regimen Complexity

Objetivo: identificar a associação entre polifarmácia e Índice de Complexidade Farmacoterapêutico (ICFT) elevado em idosos atendidos na atenção básica de saúde. Metodologia: pesquisa transversal realizada nas Unidades Básicas de Saúde de Dourados, MS, com idosos. As variáveis pesquisadas foram socioeconômicas, condições de saúde, uso de medicamentos e complexidade da farmacoterapia. Dados analisados por meio de estatística descritiva e correlação de Pearson. Aprovação do Comitê de Ética em pesquisa nº 1.406.745. Resultados: entrevistados 16 idosos em situação de polifarmácia e portadores de alguma doença crônica não transmissivel. O ICFT obteve média 16,96 (± 9,186) e mediana 15,75, que foi adotada como ponto de corte para identificar complexidade do esquema farmacoterapêutico elevado. Oito idosos apresentaram dificuldades para cumprir o esquema terapêutico devido a múltiplas doses no mesmo horário e recordarem-se das medicações. Conclusão: prevalência de idosas, com hipertensão arterial, baixa escolaridade e que precisam de orientação dos profissionais de saúde frente às dificuldades apresentadas quanto à terapia medicamentosa.Descritores: Saúde do idoso. Tratamento farmacológico. Atenção Primária à Saúde.

scholarly journals Identification of Drug-Related Problems in Hypertension Comorbid Type 2 Diabetes Mellitus Patients at Primary Health Care Center Batununggal District Bandung

2021 ◽  
Vol 4 (3) ◽  
pp. 219-225
Author(s):  
Vina Septiani ◽  
Pudjiastuti Kartidjo ◽  
Alfi Nurul Islamiyah ◽  
Abdul Aziz MSW ◽  
Iis Rukmawati
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Health Care ◽  
Type 2 Diabetes Mellitus ◽  
Care Center ◽  
Drug Related Problems ◽  
Inclusion Criteria ◽  
Health Care Center ◽  
Primary Health

Many factors can increase the risk of hypertension, one of which is diabetes mellitus. The study aims to provide an overview of Drug-Related Problems (DRPs) in patients with hypertension comorbid type 2 diabetes mellitus at Primary Health Care Center Batununggal District Bandung. This research was an observational study with retrospective data collection and descriptive analysis. Data were taken from patient prescriptions January-December 2019 period. The sample inclusion criteria are patients aged 30-75 years, patients diagnosed with hypertension comorbid type 2 diabetes mellitus, and patients treated in January-December 2019. The number of samples that met the inclusion criteria was 268 patients, of which 69 patients (25.75%) are male, and 199 patients (74.25%) are female. 164 patients (61.2%) are aged 60-75 years old. It is found that 1 case (0.37%) has the drug-related problem of drug overdose and as many as 34 cases (12.69%) have potential drug interactions.

scholarly journals Pharmacists’ Role in Older Adults’ Medication Regimen Complexity: A Systematic Review

2021 ◽  
Vol 18 (16) ◽  
pp. 8824
Author(s):  
Catharine Falch ◽  
Gilberto Alves
Keyword(s):  
Older Adults ◽  
Hospital Readmission ◽  
Active Role ◽  
Cochrane Library ◽  
Medication Regimen ◽  
Medication Regimen Complexity ◽  
Regimen Complexity ◽  
Medication Complexity ◽  
The Cochrane Library ◽  
Previous Training

Medication regimen complexity (MRC) may influence health outcomes, such as hospitalisation, hospital readmission and medication adherence. Pharmacists have been referred to as health professionals with the opportunity to act on MRC reduction. This study aimed to investigate pharmacists’ role in studies about older adults’ medication regimen complexity. A literature search was performed in PubMed, Web of Science and the Cochrane Library—CENTRAL—up to October 2019. Out of 653 potentially relevant studies, 17 articles met the inclusion criteria for this review. Most studies used the 65-item medication regimen complexity index (MRCI) to assess medication complexity. Pharmacists’ role was mainly confined to data collection. It seems that pharmacists’ active role in older adults’ medication complexity has not been studied in depth so far. However, the few existing interventional ones suggest that, after previous training, regimen simplification is feasible.

scholarly journals Preference for Visiting Emergency Department Over Primary Health Care Center Among Population in Saudi Arabia

Cureus ◽  
2021 ◽  
Author(s):  
Nasser Almulhim ◽  
Fahad Almulhim ◽  
Ali Al Gharash ◽  
Zahra Alghannam ◽  
Rami S Al-ghamdi ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Saudi Arabia ◽  
Primary Health Care ◽  
Care Center ◽  
Primary Health Care Center ◽  
Health Care Center ◽  
Primary Health
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