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Contribution of drug related problems to hospital admission in the elderly

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Abstract
Purpose: To investigate the frequency and type of drug related problems (DRPs) in geriatric patients (> 65 years), and to assess their contribution to hospital admission; to explore the appropriateness of drug therapy according to the Beers' criteria. Methods: Cross-sectional observational survey of 110 elderly patients admitted during three non-consecutive months to the geriatric ward of a university hospital. Explorative assessment of appropriateness of drug therapy prior to hospital admission based on the Beers' criteria. Results: A DRP was the dominant reason for hospital admission in 14 out of the 110 patients (12.7%); for another 9 patients (8.2%), a DRP was partly contributing to hospital admission. For these 23 patients, adverse drug reactions and noncompliance were the most important types of DRPs. We found no relationship between drug related hospital admission and intake of a drug listed in the Beers criteria for inappropriate drug use in the elderly. Patients admitted for a DRP took more drugs before admission than patients admitted because of other reasons. Conclusions: DRPs are an important cause for admission on the geriatric ward of our hospital. The drugs causing DRPs in this study were not those listed in the Beers list of inappropriate drugs in the elderly.
Keywords
drug therapy failure (DTF), hospital admission, METAANALYSIS, PRESCRIPTION, PHARMACOEPIDEMIOLOGY, EVENTS, OLDER-ADULTS, ITALIAN GROUP, EXPLICIT CRITERIA, RISK-FACTORS, NURSING-HOME RESIDENTS, INAPPROPRIATE MEDICATION USE, Beers' criteria, drug use, elderly, adverse drug reaction (ADR), Drug related problem (DRP)

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Chicago
Somers, Annemie, Hugo Robays, Robert Vander Stichele, GEORGES VAN MAELE, Marcus Bogaert, and Mirko Petrovic. 2010. “Contribution of Drug Related Problems to Hospital Admission in the Elderly.” Journal of Nutrition Health & Aging 14 (6): 477–482.
APA
Somers, Annemie, Robays, H., Vander Stichele, R., VAN MAELE, G., Bogaert, M., & Petrovic, M. (2010). Contribution of drug related problems to hospital admission in the elderly. JOURNAL OF NUTRITION HEALTH & AGING, 14(6), 477–482.
Vancouver
1.
Somers A, Robays H, Vander Stichele R, VAN MAELE G, Bogaert M, Petrovic M. Contribution of drug related problems to hospital admission in the elderly. JOURNAL OF NUTRITION HEALTH & AGING. 2010;14(6):477–82.
MLA
Somers, Annemie, Hugo Robays, Robert Vander Stichele, et al. “Contribution of Drug Related Problems to Hospital Admission in the Elderly.” JOURNAL OF NUTRITION HEALTH & AGING 14.6 (2010): 477–482. Print.
@article{949231,
  abstract     = {Purpose: To investigate the frequency and type of drug related problems (DRPs) in geriatric patients ({\textrangle} 65 years), and to assess their contribution to hospital admission; to explore the appropriateness of drug therapy according to the Beers' criteria. Methods: Cross-sectional observational survey of 110 elderly patients admitted during three non-consecutive months to the geriatric ward of a university hospital. Explorative assessment of appropriateness of drug therapy prior to hospital admission based on the Beers' criteria. Results: A DRP was the dominant reason for hospital admission in 14 out of the 110 patients (12.7\%); for another 9 patients (8.2\%), a DRP was partly contributing to hospital admission. For these 23 patients, adverse drug reactions and noncompliance were the most important types of DRPs. We found no relationship between drug related hospital admission and intake of a drug listed in the Beers criteria for inappropriate drug use in the elderly. Patients admitted for a DRP took more drugs before admission than patients admitted because of other reasons. Conclusions: DRPs are an important cause for admission on the geriatric ward of our hospital. The drugs causing DRPs in this study were not those listed in the Beers list of inappropriate drugs in the elderly.},
  author       = {Somers, Annemie and Robays, Hugo and Vander Stichele, Robert and VAN MAELE, GEORGES and Bogaert, Marcus and Petrovic, Mirko},
  issn         = {1279-7707},
  journal      = {JOURNAL OF NUTRITION HEALTH \& AGING},
  keyword      = {drug therapy failure (DTF),hospital admission,METAANALYSIS,PRESCRIPTION,PHARMACOEPIDEMIOLOGY,EVENTS,OLDER-ADULTS,ITALIAN GROUP,EXPLICIT CRITERIA,RISK-FACTORS,NURSING-HOME RESIDENTS,INAPPROPRIATE MEDICATION USE,Beers' criteria,drug use,elderly,adverse drug reaction (ADR),Drug related problem (DRP)},
  language     = {eng},
  number       = {6},
  pages        = {477--482},
  title        = {Contribution of drug related problems to hospital admission in the elderly},
  url          = {http://dx.doi.org/10.1007/s12603-009-0237-0},
  volume       = {14},
  year         = {2010},
}

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