Evidence map›Paper›PMID 33959912›Full record

ArticleEuropean geriatric medicine2021

Effects of hospital pharmacist interventions on health outcomes in older polymedicated inpatients: a scoping review.

E Delgado-Silveira, M Vélez-Díaz-Pallarés, M Muñoz-García, A Correa-Pérez, A M Álvarez-Díaz, A J Cruz-Jentoft

Open access · greenAbstract readScoping Review
PubMed Publisher
In one paragraph

Article in European geriatric medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

12 citing papers in PubMed, 24 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

E Delgado-SilveiraPharmacy Department, Ramón y Cajal University Hospital (IRYCIS), Madrid, Spain. eva.delgado@salud.madrid.org.ORCID http://orcid.org/0000-0002-9281-839X
M Vélez-Díaz-PallarésPharmacy Department, Ramón y Cajal University Hospital (IRYCIS), Madrid, Spain.
M Muñoz-GarcíaPharmacy Department, Ramón y Cajal University Hospital (IRYCIS), Madrid, Spain.
A Correa-PérezClinical Biostatistics Unit, Ramón y Cajal University Hospital (IRYCIS), Madrid, Spain.
A M Álvarez-DíazPharmacy Department, Ramón y Cajal University Hospital (IRYCIS), Madrid, Spain.
A J Cruz-JentoftGeriatric Department, Ramón y Cajal University Hospital (IRYCIS), Madrid, Spain.
Instituto Cajal · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo identify the evidence that supports the effect of interventions made by hospital pharmacists, individually or in collaboration with a multidisciplinary team, in terms of healthcare outcomes, a more effective utilization of resources and lower costs in older polymedicated inpatients.

methodsWe searched the following databases: MEDLINE, EMBASE and the Cochrane Library. We also conducted a hand search by checking the references cited in the primary studies and studies included in reviews identified during the process of research. Four review authors working by pairs searched for studies, extracted data, and drew up the results tables.

resultsTwenty-six studies were included in the review. In 13 of them pharmacists carried out their intervention exclusively while the patients were in hospital, whereas in 13 interventions were delivered during admission and after hospital discharge. Outcomes identified were mortality, length of stay, visits to the emergency department, readmissions and reported quality of life, among others. Pharmacist interventions were found to be beneficial in fifteen studies, specifically on hospital readmissions, visits to the emergency department and healthcare costs.

conclusionThere is no hard evidence demonstrating the effectiveness of hospital pharmacist interventions in older polymedicated patients. Mortality does not show as a relevant outcome. Other health care outcomes, such as hospital readmissions, visits to the emergency department and healthcare costs, seem to be more relevant and amenable to change. Interventions that include pharmacists in multidisciplinary geriatric teams seem to be more promising that isolated pharmacist interventions. Interventions prolonged after hospital discharge seem to be more appropriate that interventions delivered only during hospital admission. Better-designed studies should be conducted in the future to provide further insight into the effect of hospital pharmacist interventions.

Indexed as

InpatientsPharmacistsAgedHospitalsHumansOutcome Assessment, Health CareQuality of LifeAgedHealth care outcomeHospital pharmacistsPolypharmacyReview literature

Identifiers

PMID33959912
OpenAlexW3159251374

What OpenQuestion holds

Textmetadata
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.