Evidence map›Paper›PMID 34876989›Full record

ArticleAcute medicine & surgery

Potentially inappropriate medications at discharge among elderly patients at a single tertiary emergency medical institution in Japan: a retrospective cross-sectional observational study.

Kenta Aida, Kazunari Azuma, Shiro Mishima, Yuri Ishii, Shoji Suzuki, Jun Oda

Open access · goldAbstract read
In one paragraph

Article in Acute medicine & surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 37% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Article
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.

Kenta AidaDepartment of Emergency and Critical Care Medicine Tokyo Medical University Tokyo Japan.ORCID https://orcid.org/0000-0002-3586-7865
Kazunari AzumaDepartment of Emergency and Critical Care Medicine Tokyo Medical University Tokyo Japan.ORCID https://orcid.org/0000-0002-0519-3716
Shiro MishimaDepartment of Medical Safety Management Tokyo Medical University Tokyo Japan.
Yuri IshiiDepartment of Emergency and Critical Care Medicine Tokyo Medical University Tokyo Japan.
Shoji SuzukiDepartment of Emergency and Critical Care Medicine Tokyo Medical University Tokyo Japan.
Jun OdaDepartment of Emergency and Critical Care Medicine Tokyo Medical University Tokyo Japan.ORCID https://orcid.org/0000-0002-8254-3716
Tokyo Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimPotentially inappropriate medications (PIMs) are associated with a lower medication adherence and a higher incidence of adverse events and medical costs among elderly patients. The current study aimed to examine the prescription status of elderly patients transported to tertiary emergency medical institutions to compare the proportion of elderly patients using PIMs at admission and discharge and to investigate the characteristics of PIMs at discharge and their associated factors.

methodsIn total, 264 patients aged 75 years or older who were transferred to and discharged from the emergency room at Tokyo Medical University Hospital, a tertiary care hospital, from September 2018 to August 2019 were included in this study. We quantified the number of PIMs at admission and discharge based on the Screening Tool of Older Persons' Potentially Inappropriate Prescriptions (STOPP) criteria version 2. The primary outcomes were the proportion of elderly patients taking at least one PIM at admission and discharge.

resultsThe proportions of patients taking PIMs at admission and discharge were 55% (

conclusionsAdmission to tertiary care hospitals resulted in a lower number of prescribed PIMs. Elderly patients with a higher number of PIMs at admission and higher number of medications at discharge might have been prescribed with PIMs.

Indexed as

Critical careintensive care unitpolypharmacypotentially inappropriate medicationscreening tool of older persons’ potentially inappropriate prescriptions

Identifiers

PMID34876989
PMCPMC8628299
OpenAlexW3216856597

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.