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Medication regimen complexity on hospital admission in patients with advanced chronic conditions in need of palliative care
- Source :
- Eur J Hosp Pharm
- Publication Year :
- 2018
- Publisher :
- BMJ, 2018.
-
Abstract
- Objectives To evaluate characteristics of the medication complexity, risk factors associated with high medication complexity and their clinical consequences in patients with advanced chronic conditions. Methods A 10-month cross-sectional study was performed in an acute-hospital care Geriatric Unit. Patients with advanced chronic conditions were identified by the NECPAL test. Medication complexity was established using the Medication Regimen Complexity Index (MRCI) tool. Demographic, pharmacological and clinical patient data were collected with the objective of determining risk factors related to high medication complexity. Measured clinical outcomes were hospital length of stay, destination on hospital discharge, in-hospital mortality and 2-year survival. Results Two hundred and thirty-five patients (mean age 86.8, SD 5.37; 65.5% female) were recruited. MRCI’s mean score was 38 points (SD 16.54, rank: 2.00–98.50), with 57.9% of patients with high medication complexity (MRCI >35 points).
- Subjects :
- Geriatrics
medicine.medical_specialty
Clinical pharmacology
Palliative care
business.industry
030226 pharmacology & pharmacy
law.invention
Complexity index
Clinical pharmacy
03 medical and health sciences
0302 clinical medicine
Pharmacotherapy
Medication regimen
law
Emergency medicine
medicine
Original Article
In patient
030212 general & internal medicine
General Pharmacology, Toxicology and Pharmaceutics
business
Subjects
Details
- ISSN :
- 20479964 and 20479956
- Volume :
- 26
- Database :
- OpenAIRE
- Journal :
- European Journal of Hospital Pharmacy
- Accession number :
- edsair.doi.dedup.....3e4f3a15a1bb5abe76ef603feafe49da