Reducing medication regimen complexity for older patients prior to discharge from hospital: feasibility and barriers

Elliott, Rohan A

doi:10.1111/j.1365-2710.2012.01356.x

Cited by 33 publications

(46 citation statements)

References 21 publications

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“…Medication review on admission should focus on identifying medicines that may have contributed to the person’s presenting complaint (for example, ADR, drug interaction or failure to receive appropriate treatment due to under‐prescribing or non‐adherence). Subsequent medication reviews provide an opportunity to reassess the benefits and risks of pre‐admission medicines, ensure appropriateness of new medicines, deprescribe unnecessary or inappropriate medicines and simplify the discharge medicines regimen . For older surgical patients, medication review is recommended as part of pre‐operative and postoperative assessments…”

Section: Objectives Of the Servicementioning

confidence: 99%

“…Simplification of medicine regimens can improve adherence and reduce treatment burden for older people and their carers. Simplification may involve deprescribing medicines or changing dose‐forms, dose‐times and dose‐frequencies . Regimen simplification should form part of all comprehensive medication reviews for older people.…”

Section: Objectives Of the Servicementioning

confidence: 99%

See 1 more Smart Citation

Standard of practice in geriatric medicine for pharmacy services

Elliott

Chan

Godbole

et al. 2020

Pharmacy Practice and Res

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Section: Objectives Of the Servicementioning

confidence: 99%

Section: Objectives Of the Servicementioning

confidence: 99%

Standard of practice in geriatric medicine for pharmacy services

Elliott

Chan

Godbole

et al. 2020

Pharmacy Practice and Res

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“…Stange [18] and Elliott [19] identified dosing frequency as the simplification with the highest potential, especially in inpatients, followed by the number of dose units and the time of administration-Sections B and C of the MRCI.…”

Section: Introductionmentioning

confidence: 99%

Medication regimen complexity in institutionalized elderly people in an aging society

et al. 2014

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Background Complex medication regimens may adversely affect compliance and treatment outcomes. Complexity can be assessed with the medication regimen complexity index (MRCI), which has proved to be a valid, reliable tool, with potential uses in both practice and research. Objective To use the MRCI to assess medication regimen complexity in institutionalized elderly people. Setting Five nursing homes in mainland Portugal. Methods A descriptive, cross-sectional study of institutionalized elderly people (n = 415) was performed from March to June 2009, including all inpatients aged 65 and over taking at least one medication per day. Main outcome measure Medication regimen complexity index. Results The mean age of the sample was 83.9 years (±6.6 years), and 60.2 % were women. The elderly patients were taking a large number of drugs, with 76.6 % taking more than five medications per day. The average medication regimen complexity was 18.2 (±SD = 9.6), and was higher in the females (p \ 0.001). The most decisive factors contributing to the complexity were the number of drugs and dosage frequency. In regimens with the same number of medications, schedule was the most relevant factor in the final score (r = 0.922), followed by pharmaceutical forms (r = 0.768) and additional instructions (r = 0.742). Conclusion Medication regimen complexity proved to be high. There is certainly potential for the pharmacist's intervention to reduce it as part as the medication review routine in all the patients.

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“…Simplification of older inpatients' regimens is feasible when training in regimen simplification is provided (28). One way to increase long-term adherence in elderly patients is giving longer prescriptions for cardiac secondary prevention medications at hospital discharge (29).…”

Section: Pharmacist-family Physician Relationshipmentioning

confidence: 99%