Additional value of a triggerlist as selection criterion in identifying patients at high risk of medication-related hospital admission: a retrospective ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2022-09-17

AUTHORS

A. E. M. J. H. Linkens, M. J. M. Janssen, N. van Nie, L. Peeters, B. Winkens, V. Milosevic, B. Spaetgens, K. P. G. M. Hurkens, P. H. M. van der Kuy

ABSTRACT

BackgroundOf all hospital admissions in older patients, 10–30% seem to be medication-related. However, medication-related admissions are often unidentified in clinical practice. To increase the identification of medication-related hospital admissions in older patients a triggerlist is published in the Dutch guideline for polypharmacy. AimTo assess whether the triggerlist has value as selection criterion to identify patients at high risk of medication-related hospital admissions.MethodThis retrospective cohort study was carried out in 100 older (≥ 60 years) patients with polypharmacy and having two triggers from the triggerlist. The admissions were assessed as either possibly or unlikely medication-related according to the Assessment Tool for identifying Hospital Admissions Related to Medications.ResultsOf all the admissions 48% were classified as possibly medication-related. Patients with a possible medication-related hospital admission were more likely to have an impaired renal function (p = 0.015), but no differences with regard to age, sex, comorbidity or number of medicines were found.ConclusionThe high prevalence of medication-related hospital admissions, suggests the triggerlist may have added value as selection criterion in a cohort of older patients with polypharmacy and can be used to improve the identification of a population at high risk of medication-related hospital admissions. More... »

PAGES

1205-1210

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11096-022-01447-y

DOI

http://dx.doi.org/10.1007/s11096-022-01447-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1151101136

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/36115001


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