hello
nineteen is just all and i'm a classical assistant professor hubris over to the faculty
of fancy and pharmaceutical signs
i one of the call primary authors of this paper describing medication use changed for
older adults following presentation to the requisite department for can acquire or cat
this is an analysis of a really should be stressed radio stations from edmonton alberta
canada that initially including all patients greater than seventeen years of age presented from the
hearer's two thousand two thousand and you with cap
during quality improvement venture
we utilized in what is very index and research there's is to collect socio demographic
clinical and laboratory data
we restricted this analysis to those greater than sixty five years of age as this
population has been demonstrated to experience greater morbidity and mortality in our previous work
as well as frequently experienced oliveira c
and thus are particularly high risk adverse drug
we also have access to complete prescription cleans data provincial administrative database for this population
during transitions the care studies have shown that many intended medication changes that unintended
medication discrepancies occur placing this all syllable duration at risk of not only adverse events
but also be hospitalisation and the effects that under over treatment
we believe that you need to identify populations address suboptimal but you should use
and understanding one to target their medication profiles for optimization
while we're an adverse drug that's
as such we summarize determine whether altercations presenting with community acquired pneumonia or subject to
only fancy
be here particularly high risk and in to describe their patterns of medication use at
and for one here following than one you presentation
we include two thousand one hundred five subjects that are final study sample with the
meeting to seventy years old
sixty two percent were admitted to hospital
and forty five percent of all the pharmacy baseline
which we defined as five or more medication
i was increased to seventy four percent in the score in the ninety period following
yes cap but remains stable for the balance of the one you're follow up here
e
a limitation of our study is that were unable to quantify more throw measures of
medication part
and could not assessed medication appropriate
however
we found that e percent tuition started at least one you medication in the first
time t d's a follow-up most commonly in an effective and almost seventy five percent
of patients also stopped at least one medication during this time here
although the overall prevalence of medication classes remain stable throughout follow-up the vast majority of
patients had medication changes during the transition of care
you're respect to the antibiotic use
we believe that this time frame immediately following discharge is critical particularly older adults with
multiple medications
with the transfer here
resolution q don't is
you medications and challenges in here and
may combine to produce higher risk of medication really problems
our findings or i the proposed discharge convalescent phase and among older models
two speech will more throw medication review with the court optimized right
in q