scholarly journals Polypharmacy and potential inappropriate drug use in the elderly admitted to the general internal medicine outpatient clinic

2021 ◽  
Author(s):  
Celaleddin DEMİRCAN ◽  
Ulviyya HASANZADE
Keyword(s):  
Internal Medicine ◽  
Drug Use ◽  
General Internal Medicine ◽  
Outpatient Clinic ◽  
The Elderly ◽  
Inappropriate Drug ◽  
General Internal ◽  
Inappropriate Drug Use

scholarly journals A rude awakening: post-take ward round in the department of medicine for the elderly

1998 ◽  
Vol 91 (9) ◽  
pp. 471-474 ◽  
Author(s):  
Nicholas Coni
Keyword(s):  
Internal Medicine ◽  
General Practitioners ◽  
General Internal Medicine ◽  
Teaching Hospital ◽  
The Elderly ◽  
Ward Round ◽  
Younger Patients ◽  
General Internal ◽  
Ward Rounds ◽  
The Uk

This paper describes the post-take ward round of a department of medicine for the elderly (DME), to portray the nature of the medical admissions and their immediate management. The data concern the patients seen by one consultant in 28 such ward rounds during the last four months of 1997, in a teaching hospital where the DME is separate from the department of general internal medicine. 254 patients were seen, 107 men and 147 women, with an average age of 82.4 years (range 73–102). The decisions taken included diagnosis, further investigations, treatment, referral, discharge, and resuscitation status. Very few admissions were judged inappropriate, particularly among the majority referred by general practitioners. 101 patients were thought suitable for transfer to the department of general internal medicine, 109 definitely unsuitable. These findings support the view that, if medical beds are to be freed, the initiative must come from facilitating discharge rather than curtailing admission. Generalists are needed to sort and manage these patients. In the UK, these will often be general internal medicine consultant geriatricians, while the younger patients are seen by consultants practising general internal medicine in addition to one of the specialties. Sizeable numbers of these consultants are needed if the post-take ward round is to be efficient and not conflict with their fixed commitments.

Inappropriate Drug Use in the Elderly: a Nationwide Register-Based Study

2007 ◽  
Vol 41 (7-8) ◽  
pp. 1243-1248 ◽  
Author(s):  
Kristina Johnell ◽  
Johan Fastbom ◽  
Måns Rosén ◽  
Andrejs Leimanis
Keyword(s):  
Drug Use ◽  
Drug Interactions ◽  
Psychotropic Drugs ◽  
The Elderly ◽  
Inappropriate Drug ◽  
Anticholinergic Drugs ◽  
Elderly Persons ◽  
Inappropriate Drug Use ◽  
Drug Register ◽  
Long Acting

Background: Potentially inappropriate drug use (IDU) is an important and preventable safety concern in the care of elderly patients and has been associated with adverse drug reactions, hospitalization, and mortality. Objective: To estimate the prevalence of potentially IDU among the elderly in Sweden and investigate whether age. sex, and number of dispensed drugs are associated with IDU. Methods: We analyzed data on age, sex, and dispensed drugs for people aged 75 years and older who were listed in the Swedish Prescribed Drug Register from October–December 2005 (N = 732 226). The main outcome measures of IDU were prescription of anticholinergics, prescription of long-acting benzodiazepines, concurrent use of 3 or more psychotropic drugs, and an indication of potentially serious drug-drug interactions. Results: Prevalence for IDU was 17%; for anticholinergic drugs 6%, long-acting benzodiazepines 5%, 3 or more psychotropic drugs 5%, and potentially serious drug–drug interactions 4%. After adjustment for age and sex, number of dispensed drugs was strongly associated with all 4 measures of IDU. After adjustment for sex and number of dispensed drugs, increasing age was moderately associated with a higher probability of IDU, long-acting benzodiazepines, and 3 or more psychotropic drugs, After adjustment for age and number of dispensed drugs, women had a slightly increased probability of IDU, anticholinergic drugs, long-acting benzodiazepines, and 3 or more psychotropic drugs. Conclusions: IDU was fairly common among the elderly in Sweden in 2005 and was strongly connected to the number of dispensed drugs they were taking. Older age and female sex were related to inappropriate use of psychotropic drugs, whereas the opposite relationship prevailed for potentially serious drug–drug interactions. Future research is needed to determine whether IDU will become more common due to increasing use of drugs among elderly persons. The challenge is to balance the problems related to IDU without denying older people potentially valuable drug therapy.

Inappropriate drug use in the elderly outpatient population in a West-African metropolitan community

2019 ◽  
Vol 57 (07) ◽  
pp. 334-344
Author(s):  
Adedunni Olusanya ◽  
Adedoyin Ogunyemi ◽  
Adesina Arikawe ◽  
Temitope Megbuwawon ◽  
Omowunmi Amao
Keyword(s):  
Drug Use ◽  
The Elderly ◽  
West African ◽  
Inappropriate Drug ◽  
Inappropriate Drug Use

Institutionalization as a Risk Factor for Inappropriate Drug Use in the Elderly: A Swedish Nationwide Register-Based Study

2012 ◽  
Vol 46 (3) ◽  
pp. 339-346 ◽  
Author(s):  
Ylva Haasum ◽  
Johan Fastbom ◽  
Kristina Johnell
Keyword(s):  
Risk Factor ◽  
Drug Use ◽  
The Elderly ◽  
Inappropriate Drug ◽  
Inappropriate Drug Use

scholarly journals Inappropriate Medication Use and Related Factors in the Elderly Living in Northern Iran

Salmand ◽  
2021 ◽  
Vol 15 (4) ◽  
pp. 440-457
Author(s):  
Afsaneh Dadashihaji ◽  
Keyword(s):  
Drug Use ◽  
Adverse Drug Reactions ◽  
Inappropriate Medication ◽  
The Elderly ◽  
Inappropriate Drug ◽  
P Value ◽  
Anticholinergic Drugs ◽  
Drug Reactions ◽  
Inappropriate Drugs ◽  
Inappropriate Drug Use

Objectives: Older people are more prone to chronic diseases and are being treated than other age groups; as a result, they use more drugs that may be inappropriate and lead to adverse drug reactions. This study aimed to determine the rate of inappropriate drug use using the Beers criterion among the elderly in Amirkola City. Methods & Materials: The current descriptive-analytical study is part of the comprehensive plan "Study of the health status of the elderly in the Amirkola City” AHAP" (No.: 892917) which has been conducted as a Cohort study since 2011 on all people aged 60 and over in the Amirkola City, north of Iran. Necessary information was collected by a trained person using standard questionnaires that included the number, type and duration of drug use. The collected data were analyzed after entering the SPSS statistical software using Chi-square, Fisher's Exact Test, and Logistic Regression to evaluate the status of inappropriate drug. P-value=0.05 was considered as a significant level. Results: The Mean±SD age of the elderly was 69.71±7.47 years. Prevalence of inappropriate drug use and drugs that should use by caution among the elderly was 37.58% and 29.85%, respectively. Glibenclamide (12.7%), Diclofenac (8.8%) and Clidinium C (5.4%) were among the most inappropriate drugs used in this population. The highest drug-drug interaction was related to the simultaneous use of two anticholinergic drugs. There was a statistically significant relationship between inappropriate drug use with gender, age, education level, employment status and marriage status (P<0.05). Conclusion: The rate of inappropriate drug use among the elderly in Amirkola is high compared to many other studies that expose the elderly to adverse drug reactions.

Prevalence and clinical features of cough variant asthma in a general internal medicine outpatient clinic in Japan

Respirology ◽  
2005 ◽  
Vol 10 (3) ◽  
pp. 354-358 ◽  
Author(s):  
Kumiko SHIRAHATA ◽  
Keisaku FUJIMOTO ◽  
Hiroko ARIOKA ◽  
Ryousuke SHOUDA ◽  
Kouichirou KUDO ◽  
...  
Keyword(s):  
Internal Medicine ◽  
General Internal Medicine ◽  
Clinical Features ◽  
Outpatient Clinic ◽  
Cough Variant Asthma ◽  
General Internal
Sign in / Sign up

Export Citation Format

Share Document