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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Autores principales: Miho Kaminaga, Junpei Komagamine, Shinpei Tatsumi
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/97e2d9daf3264ca08b36755ce1e45b9d
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle 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
description 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
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