Evidence map›Paper›PMID 30051223›Full record

ArticleInternational journal of clinical pharmacy2018

A dual intervention in geriatric patients to prevent drug-related problems and improve discharge management.

Johanna Freyer, Lysann Kasprick, Ralf Sultzer, Susanne Schiek, Thilo Bertsche

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International journal of clinical pharmacy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 24% 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

9 citing papers in PubMed, 20 citations in OpenAlex.

  1. Effect of integrated medicines management on quality of discharge medication information-a secondary endpoint in a randomized controlled trial.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Johanna FreyerDrug Safety Center, University Hospital of Leipzig and Leipzig University and Department of Clinical Pharmacy, Leipzig University, Brüderstr. 32, 04103, Leipzig, Germany.
Lysann KasprickGeriatric Network (GeriNet) Leipzig, Kolmstr. 2, 04299, Leipzig, Germany.
Ralf SultzerGeriatric Network (GeriNet) Leipzig, Kolmstr. 2, 04299, Leipzig, Germany.
Susanne SchiekDrug Safety Center, University Hospital of Leipzig and Leipzig University and Department of Clinical Pharmacy, Leipzig University, Brüderstr. 32, 04103, Leipzig, Germany.
Thilo BertscheDrug Safety Center, University Hospital of Leipzig and Leipzig University and Department of Clinical Pharmacy, Leipzig University, Brüderstr. 32, 04103, Leipzig, Germany. thilo.bertsche@medizin.uni-leipzig.de.
University Hospital Leipzig · DENational Center for Geriatrics and Gerontology · JP

Funding

HELIOS Kliniken GmbH 003038
6 · The paper itself

Abstract

Background Drug-related problems (DRPs) endanger geriatric patients' safety. Especially a follow-up treatment with increased number of care transitions is a critical time for patients. Objective This study aimed at optimising medication therapy and the transfer of medication-related information to ambulatory care in geriatric rehabilitation patients. Setting German geriatric rehabilitation centre (GRC). Method A prospective, controlled intervention study was performed. Patients in the control group (CG) received standard care, those in the intervention group (IG) an additional dual pharmaceutical intervention: (i) medication review to optimise in-hospital medication and (ii) improvement of discharge letters for optimising transfer of medication-related information. Main outcome measure (i) Number of patients with at least one DRP at discharge and (ii) predefined quality criteria for the discharge letters. Results 150 patients were enrolled in CG and 163 in IG. (i) At discharge, 126 (84%) patients in the CG were affected by at least one DRP. In the IG, the number of affected patients decreased to 64 (39%, P < 0.05). (ii) In comparison to discharge letters in the CG, predefined quality criteria were improved in the IG. Following differences were measured (CG vs. IG, each P < 0.05): active ingredient indicated (60 vs. 99%), brand name indicated (60 vs. 96%), explanation of medication changes (47 vs. 68%), visualisation of explanations next to the discharge medication (26 vs. 91%) and recommended therapy duration for short-term medications (49 vs. 84%). Conclusion DRPs and incomplete discharge letters affected many patients. The dual intervention improved in-hospital medication therapy and optimised the transfer of medication-related information.

Indexed as

AgedAged, 80 and overContinuity of Patient CareDrug-Related Side Effects and Adverse ReactionsFemaleGermanyHumansMaleMedication ReconciliationMedication Therapy ManagementPatient DischargePharmaceutical ServicesPharmacistsProspective StudiesRehabilitation CentersAgedClinical PharmacistDrug-related problemGeriatric Rehabilitation CentreGermanyMedication ReviewPatient DischargeTransitional Care

Identifiers

PMID30051223
OpenAlexW2885007889

What OpenQuestion holds

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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.