Evaluation of a multifaceted medication review in older patients in the outpatient setting: a before-and-after study

Background The prevalence of medication-related emergency department visits and acute hospital admissions in older patients is rising due to the ageing of the population and increasing prevalence of multimorbidity and associated polypharmacy. Aim To explore whether a combined medication review perfo...

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Bibliographic Details
Published in:International journal of clinical pharmacy 2023-04, Vol.45 (2), p.483-490
Main Authors: Zwietering, N.A., Linkens, A. E. M. J. H., van der Kuy, P. H. M., Cremers, H., van Nie-Visser, N., Hurkens, K. P. G. M., Spaetgens, Bart
Format: Article
Language:English
Subjects:
Aged
Aged patients
Analysis
Clinics
Emergency medical care
Emergency Service, Hospital
Hospitalization
Hospitals
Humans
Internal Medicine
Medical care, Cost of
Medication Review
Medicine
Medicine & Public Health
Outpatient care facilities
Outpatients
Patient admissions
Patients
Pharmacists
Pharmacy
Polypharmacy
Research Article
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Summary:Background The prevalence of medication-related emergency department visits and acute hospital admissions in older patients is rising due to the ageing of the population and increasing prevalence of multimorbidity and associated polypharmacy. Aim To explore whether a combined medication review performed in the outpatient setting reduces the number of medication-related emergency department visits and hospital (re)admissions. Method All consecutive patients visiting the geriatric outpatient clinic underwent a multifaceted medication review (i.e. evaluation by at least a geriatrician, and/or pharmacist and use of clinical decision support system). Subsequently, we analysed the number of, and reason for, emergency department visits, acute hospital admissions and readmissions in the year prior to and the year following the index-date (date of first presentation and medication review). Results A multifaceted medication review reduced the number of potentially medication-related emergency department visits (38.9% vs. 19.6%, p  
ISSN:2210-7703
2210-7711
DOI:10.1007/s11096-022-01531-3