Jean-Bart E, Faure R, Omrani S, Guilli T, Roubaud C, Krolak-Salmon P, Mouchoux C
Pharmacie, hôpital des Charpennes, hospices civils de Lyon, 27, rue Gabriel-Péri, 69100 Villeurbanne, France.
Pharmacie, hôpital des Charpennes, hospices civils de Lyon, 27, rue Gabriel-Péri, 69100 Villeurbanne, France.
Ann Pharm Fr. 2014 May;72(3):184-93. doi: 10.1016/j.pharma.2013.12.008. Epub 2014 Feb 20.
Cares in outpatient hospital for elderly patients is a period of interest for multidisciplinary reassessment and pharmaceutical care of the prescription. The objective is to present the implementation of the pharmaceutical care activity at the outpatient hospital.
Between August and October 2011, elderly patients hospitalized in the outpatient hospital for a brief appraisal had a pharmaceutical care. The clinician introduced pharmaceutical reviews in the synthesis letter for general practitioner. An analysis of the activity was carried out over 3 months.
A pharmaceutical care had been realized for 67 patients, mean age of 81.7 years. Among medical related problems identified, 39.6% were for potentially unnecessary medication. A stop was proposed for 44% of pharmaceutical interventions. A total of 91 pharmaceutical interventions and 13 recommendations were made and 34% of patients had potentially inappropriate medication.
According to the objective to reduce the therapeutics contributing to the iatrogenesis, this approach allowed us to undertake a multidisciplinary collaboration oriented toward the relay between hospital and city cares.