Role of the community pharmacist in detecting frailty and spatio-temporal disorientation among community-dwelling older people in France.

Autor: Rhalimi M; General Hospital of Chaumont-en-Vexin, Bertinot Juel Hospital, 34 Bis Rue Pierre Budin, 60240, Chaumont-en-Vexin, France. m.rhalimi@ch-chaumontenvexin.fr., Housieaux E; Pharmacy Faculty of Amiens, University of Picardy Jules Verne, Amiens, France., Mary A; Pharmacy Faculty of Amiens, University of Picardy Jules Verne, Amiens, France.; University Hospital of Amiens-Picardy, Amiens, France., Detuncq C; Pharmacy Faculty of Rouen, University of Rouen-Normandy, Mont-Saint-Aignan, France., Muller A; Pharmacy Faculty of Montpellier, University Paul-Valéry-Montpellier, Montpellier, France., Georgin F; Pharmacy Faculty of Montpellier, University Paul-Valéry-Montpellier, Montpellier, France., Comby F; Pharmacy Faculty of Limoges, University of Limoges, Limoges, France., Wehrlé C; Pharmacy Faculty of Strasbourg, University of Strasbourg, Strasbourg, France., Davoust N; Pharmacy Faculty of Rennes, University of Rennes, Rennes, France., Brazier M; Pharmacy Faculty of Amiens, University of Picardy Jules Verne, Amiens, France.; University Hospital of Amiens-Picardy, Amiens, France.
Jazyk: angličtina
Zdroj: Aging clinical and experimental research [Aging Clin Exp Res] 2021 Jun; Vol. 33 (6), pp. 1645-1650. Date of Electronic Publication: 2020 Aug 04.
DOI: 10.1007/s40520-020-01673-2
Abstrakt: Background: Many older community-dwelling subjects may be frail and/or disoriented, putting them at risk of adverse outcomes. We investigated the prevalence of frailty and spatiotemporal disorientation among patients aged > 65 years collecting regular medication at a community pharmacy.
Methods: Prospective, cross-sectional study of geriatric evaluation in 218 community pharmacies in France. Regular customers aged > 65 years attending the pharmacy to receive ≥ 1 prescription drug were eligible. Spatio-temporal disorientation was assessed using a 4-item screening test; subjects were considered disoriented if they had ≥ 1 incorrect answers. Frailty was evaluated using the Short Emergency Geriatric Assessment (SEGA) grid. Subjects were considered as not frail (score < 8), or frail/very frail (score of 8 or more).
Results: 4090 subjects were included, average age 77.5 ± 7.6 years, 60.1% females. Overall, 1025 (25%) were frail/very frail, and 384 (9.4%) were disoriented in space or time. On average, subjects were taking 5.4 ± 3.5 medications per day. Among non-frail patients, 116/3065 (3.8%) were disoriented, of whom 87 (87/116, 75%) managed their medication alone. Among frail/very frail patients, 268/1025 (26.1%) were disoriented, of whom 46 (46/268, 16.8%) managed their medication alone. The majority of patients (77.9%) collected their medication alone at the pharmacy, but significantly fewer frail patients came to collect their drugs alone (p < 0.001).
Conclusion: It is feasible for community pharmacists to detect disorientation and frailty among older patients. A quarter of subjects were frail/very frail, and 3.2% were disoriented yet managing their drugs alone. Additional social support should be envisaged for these subjects.
Databáze: MEDLINE
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