Prescribing for older people discharged from the acute sector to residential aged-care facilities
Hopcroft, P., Peel, N.M., Poudel, A., Scott, I.A., Gray, L.C., & Hubbard, R.E. (2014) Prescribing for older people discharged from the acute sector to residential aged-care facilities. Internal Medicine Journal, 44(10), pp. 1034-1037.
For frail older people, admission to hospital is an opportunity to review the indications for specific medications. This research investigates prescribing for 206 older people discharged into residential aged care facilities from 11 acute care hospitals in Australia. Patients had multiple comorbidities (mean 6), high levels of dependency, and were prescribed a mean of 7.2 regular medications at admission to hospital and 8.1 medications on discharge, with hyper-polypharmacy (≥10 drugs) increasing from 24.3% to 32.5%. Many drugs were preventive medications whose time until benefit was likely to exceed the expected lifespan. In summary, frail patients continue to be exposed to extensive polypharmacy and medications with uncertain risk–benefit ratio.
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|Item Type:||Journal Article|
|Keywords:||Aged, Cohort Studies, Frail Elderly, Homes for the Aged, Physician's Practice Patterns|
|Divisions:||Current > Schools > School of Clinical Sciences
Current > QUT Faculties and Divisions > Faculty of Health
|Deposited On:||19 Jan 2016 01:04|
|Last Modified:||21 Jan 2016 02:59|
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