Evidence map›Paper›PMID 30242588›Full record

ArticleInternational journal of clinical pharmacy2018

Prescribing omissions among elderly Brazilian patients at their hospital admission and discharge: cross-sectional study.

Aline Cristina Luz, Márcio Galvão de Oliveira, Lúcia Noblat

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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 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Aline Cristina LuzHospital Santa Izabel, Rua Dr Clemente Ferreira n. 127, Ed. Geraldo, Apto 202, Canela, Salvador, Bahia, CEP 40110-200, Brazil. aline.cris.luz@gmail.com.ORCID http://orcid.org/0000-0002-3800-1450
Márcio Galvão de OliveiraInstituto Multidisciplinar em Saúde, Universidade Federal da Bahia (UFBA), Vitória da Conquista, Bahia, Brazil.
Lúcia NoblatFaculdade de Farmácia, Universidade Federal da Bahia (UFBA), Salvador, Bahia, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Potentially inappropriate prescribing for older people has become a global concern, although few researchers have analyzed potential prescribing omissions for this population. Objective This study aimed to compare the frequency of potential prescribing omissions for elderly patients at their admission to and discharge from a university hospital in northeast Brazil, using the validated and adapted Brazilian START criteria. Setting A university hospital in northeast Brazil. Methods This cross-sectional study examined data from patients who were ≥ 60 years old when they were admitted for > 24 h to a northeastern Brazil teaching hospital during June-December 2016. Main outcome measure Frequency of potential prescribing omissions for elderly patients at their admission to and discharge. Results Data from 227 patients were included. The mean patient age was 71 ± 8.23 years. The patients included 131 women (57.7%), and 176 patients (77.5%) presented with a Charlson Comorbidity Index of ≥ 3. Based on the START criteria, the frequency of potential prescribing omissions was 44.1% (100/227) at the admission and decreased to 39.6% (90/227) at the discharge. The most common potential omissions at the admission were beta-blockers in cases of stable chronic angina, and angiotensin converting enzyme inhibitors or angiotensin receptor blockers in cases of diabetic nephropathy or renal dysfunction. Conclusion The prevalence of potential prescribing omissions among elderly patients remained relatively high at their discharge from a northeastern Brazilian university hospital. The START criteria could be a useful tool to optimize the clinical management of the elderly.

Indexed as

AgedAged, 80 and overBrazilCross-Sectional StudiesDrug PrescriptionsFemaleHospitals, UniversityHumansInappropriate PrescribingMaleMedication ErrorsMiddle AgedPatient AdmissionPatient DischargePrevalenceAdmissionBrazilHospital dischargePrescribing habitsPrescribing omissions

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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.