The effects of in-hospital deprescribing on potential prescribing omission in hospitalized elderly patients with polypharmacy
Abstract No studies to investigate the effect of a deprescribing intervention on the occurrence of potential prescribing omissions (PPOs) among elderly patients with polypharmacy have been conducted. Therefore, the effect of deprescribing on PPOs among elderly patients with polypharmacy was investig...
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Nature Portfolio
2021
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oai:doaj.org-article:97e2d9daf3264ca08b36755ce1e45b9d2021-12-02T16:55:54ZThe effects of in-hospital deprescribing on potential prescribing omission in hospitalized elderly patients with polypharmacy10.1038/s41598-021-88362-w2045-2322https://doaj.org/article/97e2d9daf3264ca08b36755ce1e45b9d2021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-88362-whttps://doaj.org/toc/2045-2322Abstract No studies to investigate the effect of a deprescribing intervention on the occurrence of potential prescribing omissions (PPOs) among elderly patients with polypharmacy have been conducted. Therefore, the effect of deprescribing on PPOs among elderly patients with polypharmacy was investigated. All 121 consecutive elderly patients who received in-hospital deprescribing interventions were evaluated. The primary outcome was any occurrence of PPOs based on the 2015 STOPP/START criteria. The proportion of patients who had any PPOs significantly increased after the deprescribing interventions (52.9% vs 77.7%, p < 0.001). In the multivariable analysis, older age was the only independent risk factor associated with an increased risk of any PPOs after the deprescribing interventions (OR 1.08, 95% CI 1.01 to 1.16). In-hospital deprescribing interventions for elderly patients with polypharmacy may increase the occurrence of PPOs. Further study is warranted to investigate the effects on clinical outcomes of the increased occurrence of PPOs due to the deprescribing intervention.Miho KaminagaJunpei KomagamineShinpei TatsumiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021) |
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Medicine R Science Q Miho Kaminaga Junpei Komagamine Shinpei Tatsumi The effects of in-hospital deprescribing on potential prescribing omission in hospitalized elderly patients with polypharmacy |
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Abstract No studies to investigate the effect of a deprescribing intervention on the occurrence of potential prescribing omissions (PPOs) among elderly patients with polypharmacy have been conducted. Therefore, the effect of deprescribing on PPOs among elderly patients with polypharmacy was investigated. All 121 consecutive elderly patients who received in-hospital deprescribing interventions were evaluated. The primary outcome was any occurrence of PPOs based on the 2015 STOPP/START criteria. The proportion of patients who had any PPOs significantly increased after the deprescribing interventions (52.9% vs 77.7%, p < 0.001). In the multivariable analysis, older age was the only independent risk factor associated with an increased risk of any PPOs after the deprescribing interventions (OR 1.08, 95% CI 1.01 to 1.16). In-hospital deprescribing interventions for elderly patients with polypharmacy may increase the occurrence of PPOs. Further study is warranted to investigate the effects on clinical outcomes of the increased occurrence of PPOs due to the deprescribing intervention. |
format |
article |
author |
Miho Kaminaga Junpei Komagamine Shinpei Tatsumi |
author_facet |
Miho Kaminaga Junpei Komagamine Shinpei Tatsumi |
author_sort |
Miho Kaminaga |
title |
The effects of in-hospital deprescribing on potential prescribing omission in hospitalized elderly patients with polypharmacy |
title_short |
The effects of in-hospital deprescribing on potential prescribing omission in hospitalized elderly patients with polypharmacy |
title_full |
The effects of in-hospital deprescribing on potential prescribing omission in hospitalized elderly patients with polypharmacy |
title_fullStr |
The effects of in-hospital deprescribing on potential prescribing omission in hospitalized elderly patients with polypharmacy |
title_full_unstemmed |
The effects of in-hospital deprescribing on potential prescribing omission in hospitalized elderly patients with polypharmacy |
title_sort |
effects of in-hospital deprescribing on potential prescribing omission in hospitalized elderly patients with polypharmacy |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/97e2d9daf3264ca08b36755ce1e45b9d |
work_keys_str_mv |
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