The impact of a medication review with follow-up service on hospital admissions in aged polypharmacy patients
| Autor: | Victoria Garcia-Cardenas, Miguel Ángel Gastelurrutia, Estibaliz Goyenechea, Pedro Aranegui, Amaia Malet-Larrea, Shalom I. Benrimoj, Fernando Martínez-Martínez, José María Arteche, José Javier Zubeldia, Begoña Calvo |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Pharmacy Community Pharmacy Services Disease cluster 030226 pharmacology & pharmacy law.invention 03 medical and health sciences 0302 clinical medicine Drug Utilization Review Randomized controlled trial Drug Safety law medicine Humans Pharmacology (medical) 030212 general & internal medicine Pharmacology & Pharmacy Aged Pharmacology Polypharmacy Medication review Observer Variation business.industry Odds ratio Health Care Costs Aged patients Hospitalization Spain Emergency medicine Female business |
| Popis: | © 2016 The British Pharmacological Society Aims: The aims were to assess the impact of a medication review with follow-up (MRF) service provided in community pharmacy to aged polypharmacy patients on the number of medication-related hospital admissions and to estimate the effect on hospital costs. Methods: This was a sub-analysis of a cluster randomized controlled trials carried out in 178 community pharmacies in Spain. Pharmacies in the intervention group (IG) provided a comprehensive medication review during 6 months. Pharmacists in the comparison group (CG) delivered usual care. For the purposes of this sub-analysis, an expert panel of three internal medicine specialists screened the hospitalizations occurring during the main study, in order to identify medication-related hospitalizations. Inter-rater reliability was measured using Fleiss's kappa. Hospital costs were calculated using diagnosis related groups. Results: One thousand four hundred and three patients were included in the main study and they had 83 hospitalizations. Forty-two hospitalizations (50.6%) were medicine-related, with a substantial level of agreement among the experts (kappa = 0.65, 95% CI 0.52, 0.78, P |
| Databáze: | OpenAIRE |
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