A multi-intervention approach on drug therapy can lead to a more appropriate drug use in the elderly. LIMM-Landskrona Integrated Medicines Management
(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)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1461526
- author
- Bergkvist, Anna
LU
; Midlöv, Patrik
LU
; Höglund, Peter LU ; Larsson, Lisa and Eriksson, Tommy LU
- organization
- publishing date
- 2009
- 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
- 2016-04-01 12:33:13
- date last changed
- 2024-10-10 13:56:25
@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}}, keywords = {{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 = {{https://lup.lub.lu.se/search/files/2970377/1496069.pdf}}, doi = {{10.1111/j.1365-2753.2008.01080.x}}, volume = {{15}}, year = {{2009}}, }