Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Effect of a collaborative approach on the quality of prescribing for geriatric inpatients: A randomized, controlled trial
Journal of the American Geriatrics Society, Volume 55, No. 5, Year 2007
Notification
URL copied to clipboard!
Description
OBJECTIVES: To evaluate the effect of pharmaceutical care provided in addition to acute Geriatric Evaluation and Management (GEM) care on the appropriateness of prescribing. DESIGN: Randomized, controlled trial, with the patient as unit of randomization. SETTING: Acute GEM unit. PARTICIPANTS: Two hundred three patients aged 70 and older. INTERVENTION: Pharmaceutical care provided from admission to discharge by a specialist clinical pharmacist who had direct contacts with the GEM team and patients. MEASUREMENTS: Appropriateness of prescribing on admission, at discharge, and 3 months after discharge, using the Medication Appropriateness Index (MAI), Beers criteria, and Assessing Care of Vulnerable Elders (ACOVE) underuse criteria and mortality, readmission, and emergency visits up to 12 months after discharge. RESULTS: Intervention patients were significantly more likely than control patients to have an improvement in the MAI and in the ACOVE underuse criteria from admission to discharge (odds ratio (OR)=9.1, 95% confidence interval (CI)=4.2-21.6 and OR=6.1, 95% CI=2.2-17.0, respectively). The control and intervention groups had comparable improvements in the Beers criteria. CONCLUSION: Pharmaceutical care provided in the context of acute GEM care improved the appropriate use of medicines during the hospital stay and after discharge. This is an important finding, because only limited data exist on the effect of various strategies to improve medication use in elderly inpatients. The present approach has the potential to minimize risk and improve patient outcomes. © 2007, The American Geriatrics Society.
Authors & Co-Authors
Spinewine, Anne
Belgium, Louvain-la-neuve
Université Catholique de Louvain
Swine, Christian
Belgium, Louvain-la-neuve
Université Catholique de Louvain
Belgium, Dinant
Chu Dinant Godinne | Ucl Namur
Dhillon, Soraya
United Kingdom, Hatfield
University of Hertfordshire
Lambert, Philippe
Belgium, Liege
Université de Liège
Nachega, J. B.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
South Africa, Cape Town
University of Cape Town
Wilmotte, Léon
Belgium, Louvain-la-neuve
Université Catholique de Louvain
Belgium, Brussels
Cliniques Universitaires Saint-luc
Tulkens, Paul M.
Belgium, Louvain-la-neuve
Université Catholique de Louvain
Statistics
Citations: 315
Authors: 7
Affiliations: 7
Identifiers
Doi:
10.1111/j.1532-5415.2007.01132.x
ISSN:
00028614
e-ISSN:
15325415
Research Areas
Health System And Policy
Study Design
Randomised Control Trial
Case-Control Study