Prevalence and predictors of discharge polypharmacy in geriatric patients discharged from an Indonesian teaching hospital: a retrospective observational study.
Objective: The study aimed to investigate the prevalence and risk factors for discharge polypharmacy in geriatric patients in Indonesia. Methods: The retrospective cohort study used the medical record profiles of geriatric patients aged ≥ 60 years admitted to the inpatient ward between July 2018 and...
| Publicado en: | Pharmacy Practice (1886-3655) Vol. 22; no. 1; pp. 1 - 11 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Centro de Investigaciones y Publicaciones Farmaceuticas S.L.
Jan-Mar2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=176165281&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176165281 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1885642X 3EAU jtl: Pharmacy Practice (1886-3655) issn: 1885642X maglogo: N pubinfo: dt: Jan-Mar2024 vid: 22 iid: 1 pid: 36266 pub: Centro de Investigaciones y Publicaciones Farmaceuticas S.L. artinfo: ui: 176165281 176165281 176165281 10.18549/PharmPract.2024.1.2900 176165281 ppf: 1 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Prevalence and predictors of discharge polypharmacy in geriatric patients discharged from an Indonesian teaching hospital: a retrospective observational study. aug: au: Faisal, Shah Zairina, Elida Nathishuwan, Surakit Khotib, Junaidi Kristina, Susi Ari Nugraheni, Gesnita affil: Doctoral Program of Pharmaceutical Sciences Study Program, Faculty of Pharmacy, Universitas Airlangga, Surabaya, Indonesia sug: subj: Gerontologic Care Risk Assessment Patient Discharge In Old Age Polypharmacy Evaluation Academic Medical Centers Indonesia Human Indonesia Retrospective Design Prospective Studies Medical Records Middle Age Aged Hospital Units Logistic Regression Male Female Regression Chronic Disease Symptoms Comorbidity Length of Stay Heart Failure Complications Patient Admission Descriptive Statistics Myocardial Infarction Complications Peripheral Vascular Diseases Complications Cerebrovascular Disorders Complications Pulmonary Disease, Chronic Obstructive Complications Diabetes Mellitus Complications Kidney Diseases Complications Hypertension Complications Collaboration Professional Knowledge Interprofessional Relations Clinical Assessment Tools Nonexperimental Studies Funding Source Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Objective: The study aimed to investigate the prevalence and risk factors for discharge polypharmacy in geriatric patients in Indonesia. Methods: The retrospective cohort study used the medical record profiles of geriatric patients aged ≥ 60 years admitted to the inpatient ward between July 2018 and October 2019. Using three logistic regression models, we assessed the association of the patient's demographic, clinical characteristics, and disease condition with discharge polypharmacy. The use of five or more medications was defined as discharge polypharmacy. Results: A total of 1533 patients were included in the study. Most patients (78.21%) aged between 60 and 74 years. The male-to-female patient ratio was almost the same (50.16% versus 49.83%). Of the patients (52.51%) were discharged with polypharmacy. According to regression model I, patients who had a chronic condition, comorbidity, stayed in the hospital for ≥ seven days, had a Charlson comorbidity index score (3-4), and received excessive polypharmacy (≥ 10 drugs) during admission had significantly more risk (p< 0.05) to receive polypharmacy at discharge. The results of model II investigated myocardial infarction, congestive heart failure, peripheral vascular disease, cerebrovascular disease, chronic obstructive pulmonary disease, diabetes mellitus, diabetes with complications, renal disease, and high blood pressure as significant (p<0.05) predictors of discharge polypharmacy. The combined model III evaluated that comorbidity, length of hospital stay (7 or more days), excessive polypharmacy use in the hospital, myocardial infarction, and congestive heart failure were significantly (P < 0.05) associated with discharge polypharmacy. Conclusions: Polypharmacy is common in Indonesia and is linked to certain chronic conditions and other clinical factors. A particular plan that includes a pharmacist and physician collaborative relationship and awareness of the health outcomes of polypharmacy could be critical. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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