Evaluating the prevalence of potentially inappropriate prescribing in older adults in intermediate care facilities: a cross-sectional observational study

Millar, Anna; Hughes, Carmel; Ryan, Cristí­n

doi:10.1007/s11096-017-0452-4

Cited by 12 publications

(17 citation statements)

References 26 publications

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“…The search identified 7,205 studies (see Figure S1). A total of 21 studies (Abrahamsen et al, 2014(Abrahamsen et al, , 2016Chen et al, 2002;Dejong et al, 2009;Fiorini et al, 2013;Galizia et al, 2018;Gustavson et al, 2019;Herfjord et al, 2014;Hong et al, 2019;Jette et al, 2004;Jung et al, 2016;Lawler et al, 2019;Lenze et al, 2012Lenze et al, , 2019Leung et al, 2016;Mallinson et al, 2014;Millar et al, 2017;Morita et al, 2018;O'Brien & Zhang, 2018;Parker et al, 2015;Zhang et al, 2019) enrolling 1,206,769 participants were included. Characteristics of included studies are summarised in Table S1 (Appendix S1).…”

Section: Study Selectionmentioning

confidence: 99%

“…Of the 21 studies included, five were RCTs (Herfjord et al, 2014;Lawler et al, 2019;Lenze et al, 2012Lenze et al, , 2019Parker et al, 2015) and 16 were observational cohort studies (Abrahamsen et al, 2014(Abrahamsen et al, , 2016Chen et al, 2002;Dejong et al, 2009;Fiorini et al, 2013;Galizia et al, 2018;Gustavson et al, 2019;Hong et al, 2019;Jette et al, 2004;Jung et al, 2016;Leung et al, 2016;Mallinson et al, 2014;Millar et al, 2017;Morita et al, 2018;O'Brien & Zhang, 2018;Zhang et al, 2019). Eleven studies were conducted in the United States (Chen et al, 2002;Dejong et al, 2009;Gustavson et al, 2019;Hong et al, 2019;Jette et al, 2004;Jung et al, 2016;Lenze et al, 2012Lenze et al, , 2019Mallinson et al, 2014;O'Brien & Zhang, 2018;Zhang et al, 2019), two in Australia (Lawler et al, 2019;Parker et al, 2015), three in Norway (Abrahamsen et al, 2014(Abrahamsen et al, , 2016Herfjord et al, 2014), two in Italy (Fiorini et al, 2013;Galizia et al, 2018), and the remainder were conducted in Canada (Leung et...…”

Section: Study Characteristicsmentioning

confidence: 99%

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Effectiveness of facility‐based transition care on health‐related outcomes for older adults: A systematic review and meta‐analysis

Hang

Naseri

Francis‐Coad

et al. 2021

Int J Older People Nursing

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Background: Although Transition Care Programmes (TCP) are designed to assist older adults to regain functional ability after hospitalisation, it is unclear whether TCP improve older adults' health-related outcomes. Objectives:The objective of the review was to synthesise the best available evidence for the effectiveness of TCP on health-related outcomes for older adults admitted to a transition care facility after hospitalisation. Methods: Searches were conducted using the databases PubMed, AMED (Ovid), Embase (Ovid), PscyINFO (Ovid) and CINAHL (Full text) and grey literature from January 2000 to May 2020 in English only. Studies that reported health-related outcomes of older adults (aged 65 and above) who received TCP in a facility setting were deemed eligible for inclusion following critical appraisal by two reviewers. Data were pooled in meta-analysis where possible, or reported narratively.Results: A total of 21 studies from seven countries [(n = 5 RCT, n = 16 observational cohort studies) participants' mean age 80.2 (±8.3)] were included. Pooled analysis (2069 participants, 7 studies) demonstrated that 80% of older adults undertaking TCP were discharged home [95% CI (0.78-0.82, p < 0.001), I 2 = 21.99%, very low GRADE evidence]. Proportions of older adults discharged home varied widely between countries (33.3%-86.4%). There was a significant improvement in ability to perform activities of daily living (2001 participants, 7 studies) as measured by the Modified Barthel , p = 0.004), I 2 = 0.00%, very low GRADE evidence]. Conclusions:The proportion of older adults discharged home from TCP compared to other discharge destinations differs between countries. This could be due to the intensity of the rehabilitation delivered and the maximum length of stay allowed prior to discharge.

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Section: Study Selectionmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Effectiveness of facility‐based transition care on health‐related outcomes for older adults: A systematic review and meta‐analysis

Hang

Naseri

Francis‐Coad

et al. 2021

Int J Older People Nursing

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“…Despite these tools, PIP remains a significant problem worldwide, with studies estimating the prevalence of PIP in older adults between 31 and 73% [ 5 – 8 ]. Although certain factors (e.g.…”

Section: Introductionmentioning

confidence: 99%

Barriers to effective prescribing in older adults: applying the theoretical domains framework in the ambulatory setting – a scoping review

et al. 2020

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Background As the population ages, potentially inappropriate prescribing (PIP) in the older adults may become increasingly prevalent. This undermines patient safety and creates a potential source of major morbidity and mortality. Understanding the factors that influence prescribing behaviour may allow development of interventions to reduce PIP. The aim of this study is to apply the Theoretical Domains Framework (TDF) to explore barriers to effective prescribing for older adults in the ambulatory setting. Methods A scoping review was performed based on the five-stage methodological framework developed by Arksey and O’Malley. From 30 Aug 2018 to 5 Sep 2018, we conducted our search on PubMed, CINAHL, EMBASE, the Cochrane Database of Systematic Reviews, and Web of Science. We also searched five electronic journals, Google and Google Scholar to identify additional sources and grey literature. Two reviewers applied eligibility criteria to the title and abstract screening, followed by full text screening, before systematically charting the data. Results A total of 5731 articles were screened. Twenty-nine studies met the selection criteria for qualitative analysis. We mapped our results using the 14-domain TDF, eventually identifying 10 domains of interest for barriers to effective prescribing. Of these, significant domains include physician-related factors such as “Knowledge”, “Skills”, and “Social/Professional Role and Identity”; issues with “Environmental Context and Resources”; and the impact of “Social Influences” and “Emotion” on prescribing behaviour. Conclusion The TDF elicited multiple domains which both independently and collectively lead to barriers to effective prescribing for older adults in the ambulatory setting. Changing the prescribing climate will thus require interventions targeting multiple stakeholders, including physicians, patients and hospital/clinic systems. Further work is needed to explore individual domains and guide development of frameworks to aid guide prescribing for older adults in the ambulatory setting.

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“…Despite these tools, PIP remains a signi cant problem worldwide, with studies estimating the prevalence of PIP in older adults between 31-73% [5][6][7][8] . Although certain factors (e.g.…”

Section: Introductionmentioning

confidence: 99%

Barriers to Effective Prescribing in Older Adults: Applying the Theoretical Domains Framework in the Ambulatory Setting – A Scoping Review

Lau

Lun

Ang

et al. 2020

Preprint

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Background: As the population ages, potentially inappropriate prescribing (PIP) in the older adults may become increasingly prevalent. This undermines patient safety and creates a potential source of major morbidity and mortality. Understanding the factors that influence prescribing behaviour may allow development of interventions to reduce PIP. The aim of this study is to apply the Theoretical Domains Framework (TDF) to explore barriers to effective prescribing for older adults in the ambulatory setting. Methods: A scoping review was performed based on the five-stage methodological framework developed by Arksey and O’Malley. From 30 Aug 2018 to 5 Sep 2018, we conducted our search on PubMed, CINAHL, EMBASE, the Cochrane Database of Systematic Reviews, and Web of Science. We also searched five electronic journals, Google and Google Scholar to identify additional sources and grey literature. Two reviewers applied eligibility criteria to the title and abstract screening, followed by full text screening, before systematically charting the data. Results: A total of 5,731 articles were screened. 29 studies met the selection criteria for qualitative analysis. We mapped our results using the 14-domain TDF, eventually identifying 10 domains of interest for barriers to effective prescribing. Of these, significant domains include physician-related factors such as “Knowledge”, “Skills”, and “Social/Professional Role and Identity”; issues with “Environmental Context and Resources”; and the impact of “Social Influences” and “Emotion” on prescribing behaviour. Conclusion: The TDF elicited multiple domains which both independently and collectively lead to barriers to effective prescribing for older adults in the ambulatory setting. Changing the prescribing climate will thus require interventions targeting multiple stakeholders, including physicians, patients and hospital/clinic systems. Further work is needed to explore individual domains and guide development of frameworks to aid guide prescribing for older adults in the ambulatory setting.

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Evaluating the prevalence of potentially inappropriate prescribing in older adults in intermediate care facilities: a cross-sectional observational study

Cited by 12 publications

References 26 publications

Effectiveness of facility‐based transition care on health‐related outcomes for older adults: A systematic review and meta‐analysis

Effectiveness of facility‐based transition care on health‐related outcomes for older adults: A systematic review and meta‐analysis

Barriers to effective prescribing in older adults: applying the theoretical domains framework in the ambulatory setting – a scoping review

Barriers to Effective Prescribing in Older Adults: Applying the Theoretical Domains Framework in the Ambulatory Setting – A Scoping Review

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