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A multi-intervention approach on drug therapy can lead to a more appropriate drug use in the elderly. LIMM-Landskrona Integrated Medicines Management

Bergkvist, Anna LU ; Midlöv, Patrik LU ; Höglund, Peter LU ; Larsson, Lisa and Eriksson, Tommy LU (2009) In Journal of Evaluation in Clinical Practice 15(4). p.660-667
Abstract
Rationale, aims and objectives To evaluate if an integrated medicines management can lead to a more appropriate drug use in elderly inpatients. Method The study was an intervention study at a department of internal medicine in southern Sweden. During the intervention period pharmacists took part in the daily work at the wards. Systematic interventions aiming to identify, solve and prevent drug-related problems (DRPs) were performed during the patient's hospital stay by multidisciplinary teams consisting of physicians, nurses and pharmacists. DRPs identified by the pharmacist were put forward to the care team and discussed. Medication Appropriateness Index (MAI) was used to evaluate the appropriateness in the patients' drug treatment at... (More)
Rationale, aims and objectives To evaluate if an integrated medicines management can lead to a more appropriate drug use in elderly inpatients. Method The study was an intervention study at a department of internal medicine in southern Sweden. During the intervention period pharmacists took part in the daily work at the wards. Systematic interventions aiming to identify, solve and prevent drug-related problems (DRPs) were performed during the patient's hospital stay by multidisciplinary teams consisting of physicians, nurses and pharmacists. DRPs identified by the pharmacist were put forward to the care team and discussed. Medication Appropriateness Index (MAI) was used to evaluate the appropriateness in the patients' drug treatment at admission, discharge and 2 weeks after discharge. In total 43 patients were included, 28 patients in the intervention group and 25 patients in the group which was used as control. Results For the intervention group there was a significant decrease in the number of inappropriate drugs compared with the control group (P = 0.049). Indication, duration and expenses were the MAI-dimensions with most inappropriate ratings, and the drugs with most inappropriate ratings were anxiolytics, hypnotics and sedatives. Conclusion This kind of systematic approach on drug therapy can result in a more appropriate drug use in the elderly. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
medication reconciliation, Medication Appropriateness Index, inpatients, geriatric medicine, drug-related problems, elderly, pharmaceutical care
in
Journal of Evaluation in Clinical Practice
volume
15
issue
4
pages
660 - 667
publisher
Wiley-Blackwell
external identifiers
  • wos:000268271000013
  • scopus:68349083532
ISSN
1365-2753
DOI
10.1111/j.1365-2753.2008.01080.x
language
English
LU publication?
yes
id
d51e280a-304d-4100-a5d7-fd6e9d7566c1 (old id 1461526)
date added to LUP
2009-08-31 10:40:15
date last changed
2017-12-10 03:55:10
@article{d51e280a-304d-4100-a5d7-fd6e9d7566c1,
  abstract     = {Rationale, aims and objectives To evaluate if an integrated medicines management can lead to a more appropriate drug use in elderly inpatients. Method The study was an intervention study at a department of internal medicine in southern Sweden. During the intervention period pharmacists took part in the daily work at the wards. Systematic interventions aiming to identify, solve and prevent drug-related problems (DRPs) were performed during the patient's hospital stay by multidisciplinary teams consisting of physicians, nurses and pharmacists. DRPs identified by the pharmacist were put forward to the care team and discussed. Medication Appropriateness Index (MAI) was used to evaluate the appropriateness in the patients' drug treatment at admission, discharge and 2 weeks after discharge. In total 43 patients were included, 28 patients in the intervention group and 25 patients in the group which was used as control. Results For the intervention group there was a significant decrease in the number of inappropriate drugs compared with the control group (P = 0.049). Indication, duration and expenses were the MAI-dimensions with most inappropriate ratings, and the drugs with most inappropriate ratings were anxiolytics, hypnotics and sedatives. Conclusion This kind of systematic approach on drug therapy can result in a more appropriate drug use in the elderly.},
  author       = {Bergkvist, Anna and Midlöv, Patrik and Höglund, Peter and Larsson, Lisa and Eriksson, Tommy},
  issn         = {1365-2753},
  keyword      = {medication reconciliation,Medication Appropriateness Index,inpatients,geriatric medicine,drug-related problems,elderly,pharmaceutical care},
  language     = {eng},
  number       = {4},
  pages        = {660--667},
  publisher    = {Wiley-Blackwell},
  series       = {Journal of Evaluation in Clinical Practice},
  title        = {A multi-intervention approach on drug therapy can lead to a more appropriate drug use in the elderly. LIMM-Landskrona Integrated Medicines Management},
  url          = {http://dx.doi.org/10.1111/j.1365-2753.2008.01080.x},
  volume       = {15},
  year         = {2009},
}