Observational studyInternational journal of clinical pharmacy2025
Evaluating an integrated clinical pharmacist model in a geriatric day hospital: a prospective single-centre observational study.
Observational study in International journal of clinical pharmacy, 2025. 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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Who cites it
2 citing papers in PubMed.
- Implementing a clinical pharmacy intervention for older adult inpatients with chronic non-cancer pain: a feasibility study.International journal of clinical pharmacy · 2026Article
- Drug-related problems in pediatric patients with chronic kidney disease: A single-center prospective study.Experimental and therapeutic medicine · 2026Article
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Authors and funding
7 authors.
Funding
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Abstract
backgroundDrug-related problems (DRPs) are prevalent in geriatric patients and associated with poor health outcomes. Clinical pharmacists (CPs) play a key role in optimising medication use, yet the benefits of CP interventions in collaboration with the geriatrician in a geriatric day hospital setting remain underexplored.
aimThis study aimed to: (1) evaluate CP activities at a geriatric day hospital by analysing (a) identified DRPs and recommendations, and (b) the prevalence of potentially inappropriate medications (PIMs), including Fall-Risk Increasing Drugs (FRIDs), at admission/discharge; and (2) examine the acceptance and implementation rates of CPs' recommendations by the attending geriatrician.
methodAll patients that visited the day hospital during 25 non-consecutive days were invited to participate. DRPs and corresponding CPs' recommendations were categorised and analysed. PIMs were identified retrospectively using the Ghent Older People's Prescriptions community Pharmacy Screening-tool version 2.
resultsNinety-nine patients were included (median age: 85 years, 72.7% female). The most frequently identified DRP was 'no indication'. Drugs used for the nervous system were mostly involved. CPs proposed 251 recommendations (median: two per patient), which most frequently concerned 'stop therapy'. The acceptance rate was 80.1%, of which 73.1% were implemented immediately. The PIM prevalence decreased from 91.8% on admission to 87.6% at discharge (p < .001). The median number of FRIDs was two at both timepoints.
conclusionCPs can have a valuable role in the interdisciplinary team at a geriatric day hospital. Regularly reevaluating the appropriate use of drugs used for the nervous system, and initiating judicious deprescribing is recommended.
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