Elderly People With Drug-Related Problems Identified in the Emergency Department : Impact of Therapeutic Complexity on Consultations to the Health System
Ruiz Ramos, Jesus (Institut d'Investigació Biomèdica Sant Pau)
Juanes-Borrego, Ana (Institut d'Investigació Biomèdica Sant Pau)
Blazquez Andion, Marta (Institut d'Investigació Biomèdica Sant Pau)
Mangues, Ma Antonia (Institut d'Investigació Biomèdica Sant Pau)
Puig Campmany, Mireia (Institut d'Investigació Biomèdica Sant Pau)
Universitat Autònoma de Barcelona

Date:	2020
Abstract:	Different scales have been validated to assess the medication regimen complexity. However, the effect of this complexity on the risk of health care center consultations in patients with drug-related problems is unknown. This study's objective is to evaluate the association between the Medication Regimen Complexity Index (MCRI) and the number of drugs prescribed and new consultations to the health care system in patients who visit an emergency service due to drug-related problems. This is a retrospective observational study. We included patients >65 years who attended in an emergency service for drug-related problems. To identify variables associated with health care center reconsultation, a multivariate analysis was performed, including demographic and comorbidity variables, number of drugs prescribed, and MCRI value. Two hundred and one patients were included. A significant association was found between the prescription of more than five drugs (odds ratio [OR] = 2. 50, 95% confidence interval [CI] = [1. 08, 5. 79]), an MCRI > 20 (2. 98 [1. 46-6. 09]), and an increase in the number of drugs prescribed (2. 87 [1. 57-5. 21]) and its MCRI (2. 06 [1. 13-3. 77]) at discharge and a new visit to the emergency department. An association was found between the prescription of more than five drugs, an MCRI > 20, an increase in the number of drugs, and in MCRI value at discharge and a new visit to any other health care center. The number of prescribed drugs and the medication complexity of patients who visit the emergency department for drug-related problems was associated with an increase in the number of revisits to the emergency department and to other health care centers.
Grants:	Instituto de Salud Carlos III PI18/00889
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Drug safety ; Drug-related pharmacy ; Emergency medicine ; Geriatrics ; Medication safety
Published in:	SAGE Open, Vol. 10 Núm. 2 (april 2020) , ISSN 2158-2440

DOI: 10.1177/2158244020924373

7 p, 214.4 KB

The record appears in these collections:
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles