Evidence map›Paper›PMID 30634548›Full record

ArticleHealthcare (Basel, Switzerland)2019

Comparison of Potentially Inappropriate Medications for People with Dementia at Admission and Discharge during An Unplanned Admission to Hospital: Results from the SMS Dementia Study.

Ashley Kable, Anne Fullerton, Samantha Fraser, Kerrin Palazzi, Carolyn Hullick, Christopher Oldmeadow, Dimity Pond, Andrew Searles, Kim Edmunds, John Attia and 1 more

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Impact of Hospitalizations on Problematic Medication Use Among Community-Dwelling Persons With Dementia.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
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  11. Review
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  14. Observational
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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

11 authors.

Ashley KableFaculty of Health and Medicine, University of Newcastle, Callaghan, NSW 2308, Australia. Ashley.Kable@newcastle.edu.au.
Anne FullertonHunter New England Local Health District, New Lambton Heights, NSW 2305, Australia. Anne.Fullerton@hnehealth.nsw.gov.au.
Samantha FraserHunter New England Local Health District, New Lambton Heights, NSW 2305, Australia. Samantha.Fraser@hnehealth.nsw.gov.au.
Kerrin PalazziHunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia. Kerrin.palazzi@hmri.org.au.
Carolyn HullickHunter New England Local Health District, New Lambton Heights, NSW 2305, Australia. Carolyn.Hullick@hnehealth.nsw.gov.au.
Christopher OldmeadowHunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia. Christopher.Oldmeadow@hmri.org.au.
Dimity PondFaculty of Health and Medicine, University of Newcastle, Callaghan, NSW 2308, Australia. Dimity.Pond@newcastle.edu.au.
Andrew SearlesHunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia. Andrew.searles@hmri.org.au.
Kim EdmundsHunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia. Kim.edmunds@hmri.org.au.
John AttiaFaculty of Health and Medicine, University of Newcastle, Callaghan, NSW 2308, Australia. John.attia@newcastle.edu.au.
On Behalf Of Sms Dementia Study On Behalf Of Sms Dementia Study InvestigatorsFaculty of Health and Medicine, University of Newcastle, Callaghan, NSW 2308, Australia. gideonh@earth.ox.ac.uk.

Funding

Australian Government Dementia and Aged Care Services Fund 1601301
6 · The paper itself

Abstract

People with dementia (PWD) and cognitive impairment are particularly vulnerable to medication problems, and unplanned admission to hospital presents an opportunity to address polypharmacy, potentially inappropriate medications (PIMs) and anticholinergic burden. This study aimed to compare PIMS and other medication data for PWD to determine whether these changed during hospitalization. Medications documented in patient's records at admission and discharge were evaluated for PWD recruited to phase one of a prospective quasi-experimental pre/post-controlled trial that was conducted at two regional hospitals in NSW, Australia. The study sample included PWD or cognitive impairment having an unplanned admission to hospital. Data were collected using a purpose developed audit tool for medications and PIMs, and a Modified Anticholinergic Burden Scale. Total participants were 277, and results determined that the cognitive status of PWD is not always detected during an unplanned admission. This may make them more vulnerable to medication problems and poor outcomes. Polypharmacy and PIMS for PWD were high at admission and significantly reduced at discharge. However, PWD should be routinely identified as high risk at admission; and there is potential to further reduce polypharmacy and PIMs during admission to hospital, particularly psychotropic medications at discharge. Future studies should focus on evaluating targeted interventions designed to increase medication safety for PWD.

Indexed as

anticholinergic burdenpeople with dementiapolypharmacypotentially inappropriate medicationsunplanned admission

Identifiers

PMID30634548
PMCPMC6473531

What OpenQuestion holds

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LicenceCC BY
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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.