Evidence map›Paper›PMID 29457491›Full record

Observational studyThe Annals of pharmacotherapy2018

Critical Care Pharmacists and Medication Management in an ICU Recovery Center.

Joanna L Stollings, Sarah L Bloom, Li Wang, E Wesley Ely, James C Jackson, Carla M Sevin

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in The Annals of pharmacotherapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.

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  18. The Canadian journal of hospital pharmacy · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Joanna L Stollings1 Vanderbilt University Medical Center, Nashville, TN, USA.
Sarah L Bloom1 Vanderbilt University Medical Center, Nashville, TN, USA.
Li Wang1 Vanderbilt University Medical Center, Nashville, TN, USA.
E Wesley Ely1 Vanderbilt University Medical Center, Nashville, TN, USA.
James C Jackson2 Department of Veterans Affairs Medical Center Tennessee Valley Healthcare System, Nashville, TN, USA.
Carla M Sevin1 Vanderbilt University Medical Center, Nashville, TN, USA.
Vanderbilt University Medical Center · USVanderbilt University · US

Funding

The MIND USA StudyR01AG035117 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ELY, E WESLEY · 2011 to 2016
$7.3M
Altering Sedation Paradigms to Improve Brain Injury and Survival in Severe SepsisR01HL111111 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PANDHARIPANDE, PRATIK · 2012 to 2017
$3.7M
The MIND ICU StudyR01AG027472 · NIA · VANDERBILT UNIVERSITY · PI ELY, E WESLEY · 2006 to 2010
$3.0M
NHLBI NIH HHS R01 HL111111NIA NIH HHS R01 AG027472NIA NIH HHS R01 AG035117
6 · The paper itself

Abstract

backgroundMany patients experience complications following critical illness; these are now widely referred to as post-intensive care syndrome (PICS). An interprofessional intensive care unit (ICU) recovery center (ICU-RC), also known as a PICS clinic, is one potential approach to promoting patient and family recovery following critical illness.

objectivesTo describe the role of an ICU-RC critical care pharmacist in identifying and treating medication-related problems among ICU survivors.

methodsA prospective, observational cohort study was conducted of all outpatient appointments of a tertiary care hospital's ICU-RC between July 2012 and December 2015. The pharmacist completed a full medication review, including medication reconciliation, interview, counseling, and resultant interventions, during the ICU-RC appointment.

resultsData from all completed ICU-RC visits were analyzed (n = 62). A full medication review was performed in 56 (90%) of these patients by the pharmacist. The median number of pharmacy interventions per patient was 4 (interquartile range = 2, 5). All 56 patients had at least 1 pharmacy intervention; 22 (39%) patients had medication(s) stopped at the clinic appointment, and 18 (32%) patients had new medication(s) started. The pharmacist identified 9 (16%) patients who had an adverse drug event (ADE); 18 (32%) patients had ADE preventive measures instituted. An influenza vaccination was administered to 13 (23%) patients despite an inpatient protocol to ensure influenza vaccination prior to discharge. A pneumococcal vaccination was administered to 2 (4%) patients.

conclusionsUse of a critical care pharmacist resulted in the identification and treatment of multiple medication-related problems in an ICU-RC as well as implementation of preventive measures.

Indexed as

Medication ReconciliationAdultAgedCritical CareCritical IllnessDrug-Related Side Effects and Adverse ReactionsFemaleHumansIntensive Care UnitsMaleMiddle AgedPharmacistsPharmacy Service, HospitalProfessional Roleadverse drug eventmedication reconciliationpharmacistpost–intensive care syndromepost–intensive care syndrome clinic

Identifiers

PMID29457491
PMCPMC6039256
OpenAlexW2792314206

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.