Department of Geriatric Medicine, Laurentius Hospital, Roermond, The Netherlands.
Department of Hospital Pharmacy, Erasmus Medical Centre, Rotterdam, The Netherlands.
Int J Clin Pharm. 2023 Apr;45(2):483-490. doi: 10.1007/s11096-022-01531-3. Epub 2023 Feb 6.
The prevalence of medication-related emergency department visits and acute hospital admissions in older patients is rising due to the ageing of the population and increasing prevalence of multimorbidity and associated polypharmacy.
To explore whether a combined medication review performed in the outpatient setting reduces the number of medication-related emergency department visits and hospital (re)admissions.
All consecutive patients visiting the geriatric outpatient clinic underwent a multifaceted medication review (i.e. evaluation by at least a geriatrician, and/or pharmacist and use of clinical decision support system). Subsequently, we analysed the number of, and reason for, emergency department visits, acute hospital admissions and readmissions in the year prior to and the year following the index-date (date of first presentation and medication review).
A multifaceted medication review reduced the number of potentially medication-related emergency department visits (38.9% vs. 19.6%, p < 0.01), although the total number of ED visits or acute hospital admissions per patient in the year before and after medication review did not differ.
A multifaceted medication review performed in the outpatient clinic reduced the number of potentially medication-related emergency department visits and could therefore reduce negative health outcomes and healthcare costs.
由于人口老龄化以及多种疾病和相关多药治疗的患病率增加，老年患者因药物相关而到急诊就诊和急性住院的情况越来越多。
探讨在门诊环境中进行联合药物审查是否可以减少与药物相关的急诊就诊和医院（再）入院的次数。
所有连续到老年门诊就诊的患者都接受了多方面的药物审查（即至少由老年病医生和/或药剂师进行评估，以及使用临床决策支持系统）。随后，我们分析了索引日期（首次就诊和药物审查日期）之前和之后一年中，急诊就诊、急性住院和再入院的次数和原因。
多方面的药物审查减少了潜在与药物相关的急诊就诊次数（38.9% 比 19.6%，p < 0.01），尽管药物审查前后每位患者的急诊就诊次数或急性住院入院次数没有差异。
在门诊环境中进行的多方面药物审查减少了潜在与药物相关的急诊就诊次数，因此可以降低不良健康结果和医疗保健成本。
