Assessment of Prescriptions in Elderly Patients Hospitalized in Medicine Departments

Drug-related iatrogenesis is an important issue in the elderly population, and preventing iatrogenic accidents helps to reduce hospitalizations. Our study’s objective was to evaluate prescriptions in the geriatric population of our establishment. The study conducted is a targeted clinical audit. Ten...

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Autores principales:	Audrey Giroux, Christelle Prudent, Pierre Jouanny, Géraldine Muller, Hervé Devilliers, Lucie Vadot
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	aged potentially inappropriate medication list clinical audit geriatrics inappropriate prescription misuse Medicine R
Acceso en línea:	https://doaj.org/article/195de9e6e9b74c709618b56ac06773fe
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spelling	oai:doaj.org-article:195de9e6e9b74c709618b56ac06773fe2021-11-25T18:01:55ZAssessment of Prescriptions in Elderly Patients Hospitalized in Medicine Departments10.3390/jcm102253432077-0383https://doaj.org/article/195de9e6e9b74c709618b56ac06773fe2021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5343https://doaj.org/toc/2077-0383Drug-related iatrogenesis is an important issue in the elderly population, and preventing iatrogenic accidents helps to reduce hospitalizations. Our study’s objective was to evaluate prescriptions in the geriatric population of our establishment. The study conducted is a targeted clinical audit. Ten criteria were tested on the hospital prescriptions of people over 75 years old in 11 medical departments, before and after improvement actions. The non-compliance threshold was set at 10% of prescriptions for each criterion. In each phase, 165 patients were included. Four criteria were non-compliant (NC) in the first phase: the presence of Potentially Inappropriate Medications for the Elderly (PIMs) (NC = 57.6%), the adaptation of the medication to renal clearance (NC = 24.9%), the presence of illogical combination (NC = 9.7%), and the total anti-cholinergic score of the prescription (NC = 12.1%). After the implementation of improvement actions, the number of non-compliant criteria decreased between the two phases, from four to two. We obtained a significant improvement for three of the four criteria found to be non-compliant in the first phase. The criterion adaptation to renal function is close to compliance (NC = 10.1%) and the PIMs criterion remained non-compliant after reassessment (NC = 32.1%). Vigilance must be ongoing in order to limit drug iatrogeny, particularly in frail elderly patients.Audrey GirouxChristelle PrudentPierre JouannyGéraldine MullerHervé DevilliersLucie VadotMDPI AGarticleagedpotentially inappropriate medication listclinical auditgeriatricsinappropriate prescriptionmisuseMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5343, p 5343 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	aged potentially inappropriate medication list clinical audit geriatrics inappropriate prescription misuse Medicine R
spellingShingle	aged potentially inappropriate medication list clinical audit geriatrics inappropriate prescription misuse Medicine R Audrey Giroux Christelle Prudent Pierre Jouanny Géraldine Muller Hervé Devilliers Lucie Vadot Assessment of Prescriptions in Elderly Patients Hospitalized in Medicine Departments
description	Drug-related iatrogenesis is an important issue in the elderly population, and preventing iatrogenic accidents helps to reduce hospitalizations. Our study’s objective was to evaluate prescriptions in the geriatric population of our establishment. The study conducted is a targeted clinical audit. Ten criteria were tested on the hospital prescriptions of people over 75 years old in 11 medical departments, before and after improvement actions. The non-compliance threshold was set at 10% of prescriptions for each criterion. In each phase, 165 patients were included. Four criteria were non-compliant (NC) in the first phase: the presence of Potentially Inappropriate Medications for the Elderly (PIMs) (NC = 57.6%), the adaptation of the medication to renal clearance (NC = 24.9%), the presence of illogical combination (NC = 9.7%), and the total anti-cholinergic score of the prescription (NC = 12.1%). After the implementation of improvement actions, the number of non-compliant criteria decreased between the two phases, from four to two. We obtained a significant improvement for three of the four criteria found to be non-compliant in the first phase. The criterion adaptation to renal function is close to compliance (NC = 10.1%) and the PIMs criterion remained non-compliant after reassessment (NC = 32.1%). Vigilance must be ongoing in order to limit drug iatrogeny, particularly in frail elderly patients.
format	article
author	Audrey Giroux Christelle Prudent Pierre Jouanny Géraldine Muller Hervé Devilliers Lucie Vadot
author_facet	Audrey Giroux Christelle Prudent Pierre Jouanny Géraldine Muller Hervé Devilliers Lucie Vadot
author_sort	Audrey Giroux
title	Assessment of Prescriptions in Elderly Patients Hospitalized in Medicine Departments
title_short	Assessment of Prescriptions in Elderly Patients Hospitalized in Medicine Departments
title_full	Assessment of Prescriptions in Elderly Patients Hospitalized in Medicine Departments
title_fullStr	Assessment of Prescriptions in Elderly Patients Hospitalized in Medicine Departments
title_full_unstemmed	Assessment of Prescriptions in Elderly Patients Hospitalized in Medicine Departments
title_sort	assessment of prescriptions in elderly patients hospitalized in medicine departments
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/195de9e6e9b74c709618b56ac06773fe
work_keys_str_mv	AT audreygiroux assessmentofprescriptionsinelderlypatientshospitalizedinmedicinedepartments AT christelleprudent assessmentofprescriptionsinelderlypatientshospitalizedinmedicinedepartments AT pierrejouanny assessmentofprescriptionsinelderlypatientshospitalizedinmedicinedepartments AT geraldinemuller assessmentofprescriptionsinelderlypatientshospitalizedinmedicinedepartments AT hervedevilliers assessmentofprescriptionsinelderlypatientshospitalizedinmedicinedepartments AT lucievadot assessmentofprescriptionsinelderlypatientshospitalizedinmedicinedepartments
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Assessment of Prescriptions in Elderly Patients Hospitalized in Medicine Departments

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