ArticleEuropean journal of clinical pharmacology2014
The influence of comprehensive geriatric assessment on drug therapy in elderly patients.
Article in European journal of clinical pharmacology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Assessing the maintenance of hospital discharge prescriptions in the older population: a systematic literature review.BMC geriatrics · 2026Pooled it
- Impact of an enhanced pharmacy discharge service on prescribing appropriateness criteria: a randomised controlled trial.International journal of clinical pharmacy · 2015Trial
- Identifying Current Practices and Areas for Improvement in Medication Management During Care Transition Through an Interprofessional Collaboration Framework.Journal of multidisciplinary healthcare · 2025Article
- Patient medication management, understanding and adherence during the transition from hospital to outpatient care - a qualitative longitudinal study in polymorbid patients with type 2 diabetes.BMC health services research · 2024Article
- Use of Drugs with Anticholinergic Properties at Hospital Admission Associated with Mortality in Older Patients: A Danish Nationwide Register-Based Cohort Study.Drugs - real world outcomes · 2022Article
- Multidisciplinary telephone conferences about medication therapy after discharge of older inpatients: a feasibility study.International journal of clinical pharmacy · 2021Review
- A Collaborative Deprescribing Intervention in a Subacute Medical Outpatient Clinic: A Pilot Randomized Controlled Trial.Metabolites · 2021Article
- Association between number of medications and mortality in geriatric inpatients: a Danish nationwide register-based cohort study.European geriatric medicine · 2020Article
- Post-discharge adjustment of medication in geriatric patients : A prospective cohort study.Zeitschrift fur Gerontologie und Geriatrie · 2020Article
- The impact of hospitalisation to geriatric wards on the use of medications and potentially inappropriate medications - a health register study.BMC geriatrics · 2020Article
- A Collaborative Medication Review Including Deprescribing for Older Patients in an Emergency Department: A Longitudinal Feasibility Study.Journal of clinical medicine · 2020Article
- Frequency of undocumented medication discrepancies in discharge letters after hospitalization of older patients: a clinical record review study.Therapeutic advances in drug safety · 2019Article
- General practitioners' continuation and acceptance of medication changes at sectorial transitions of geriatric patients - a qualitative interview study.BMC family practice · 2018Article
- Changes in prescribed medicines in older patients with multimorbidity and polypharmacy in general practice.BMC family practice · 2018Article
- Prescription Changes During Geriatric Care Episodes: A Trend Analysis Conducted in Sweden.Drugs & aging · 2018Article
- Barthel Index at hospital admission is associated with mortality in geriatric patients: a Danish nationwide population-based cohort study.Clinical epidemiology · 2018Article
- Risk of prescribing errors in acutely admitted patients: a pilot study.International journal of clinical pharmacy · 2016Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundComprehensive geriatric assessment of hospitalised patients implies optimising patients' medical treatment, and good coordination between hospital and general practice is essential for the quality of the drug treatment. Only a few studies have investigated the continuation of patients' medication from primary care to hospital and back again to primary care.
objectivesTo describe changes of drug therapy during hospital stay in a geriatric ward and the following acceptance of these changes in primary cares after discharge.
methodsAn observational register study following 1,550 geriatric patients' pharmacological treatment longitudinally across hospital stay, by linkage of a primary care prescription database and hospital medical records. The medication regimens for the individual patients were compared at three cross sections: primary care before hospitalisation, during hospital stay and primary care after hospitalisation, analysed according to drug therapy, co-morbidity, functionality and outpatient follow-up.
resultsPatients were using an average of 8.2 drugs before hospital admission, of which an average of 0.9 drugs per patient was discontinued or switched during hospitalisation. An average of 1.7 new drugs per patient was initiated by the hospital physicians. After discharge, 63.9 % of the changes initiated by hospital physicians were continued in primary care. Of new drugs initiated in hospital 42.7 % were accepted in primary care.
conclusionsA relatively small proportion of drugs was switched or discontinued and the average number of drugs increased during hospital stay. Of these changes, two thirds were accepted in primary care after discharge and less than half of newly initiated drugs were continued in primary.
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