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  metatag-keywords=(Iatrogénie, Prescriptions appropriees)

  metatag-og:title=(Persistence of Effect of Medication Review on Potentially Inappropriate Prescriptions in Older Patients Following Hospital Discharge. Debacq C, et al, Drugs Aging 2021.)

  metatag-description=(Persistence of Effect of Medication Review on Potentially Inappropriate Prescriptions in Older Patients Following Hospital Discharge. Debacq C, et al, Drugs Aging 2021.)

  metatag-og:type=article
  metatag-article:published_time=2021-03-11
  metatag-article:modified_time=2021-03-11

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{{pmid>addtt:33474671|Persistence of Effect of Medication Review on Potentially Inappropriate Prescriptions in Older Patients Following Hospital Discharge.}}
{{pmid>addhash_fr:33474671|Iatrogénie, Prescriptions_appropriees}}

====== Persistence of Effect of Medication Review on Potentially Inappropriate Prescriptions in Older Patients Following Hospital Discharge. Debacq C, et al, Drugs Aging 2021. ======

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{{tag>Iatrogénie    }}
{{tag>Prescriptions_appropriees}}
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  * **Proposé le :** 11/03/2021 15:07:05
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  * **Avec la version du site :** <label type="warning">**v2021_01_12**</label>
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{{tag>Proposé_à_relecture 2021-03 Non_attribué Non_finalisé}}
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===== Résumé et points clés =====



**Background:** Potentially inappropriate prescriptions (PIPs) can lead to adverse drug reactions and should be avoided whenever possible.

**Objective:** Our objective was to assess the PIP resumption rate 6 months after discharge from our geriatric unit and to compare it with data in the literature.

**Methods:** This single-center observational study included patients aged ≥ 70 years with at least one PIP that had been stopped during hospitalization (according to Screening Tool for Older Persons Prescriptions [STOPP] and Screening Tool to Alert doctors to Right Treatment [START] criteria, version 2) between May 2018 and October 2018. We collected sociodemographic data, medication reconciliation data, and descriptive data during a comprehensive geriatric assessment. Each patient's medication history after discharge was determined in collaboration with their usual community pharmacist.

**Results:** A total of 125 patients (females 70%, mean age 87.1 years) were included. Data for the admission and discharge medication reconciliations were available for 44 patients (35%). On admission, 121 of the 125 patients (97%) were taking cardiovascular medication. Of the 336 treatments withdrawn, 61 (18.2%) had been re-prescribed at 6 months post-discharge-including half within the first month. The most frequent STOPP criterion was lack of indication (32%), and the overall PIP resumption rate was 22%. According to the anatomical therapeutic chemical (ATC) classification, the main organ system affected by PIPs was the cardiovascular system (47%, with a resumption rate of 17%).

**Conclusion:** Our results highlighted a low PIP resumption rate at 6 months and showed that a collaborative medication review is associated with persistent medium-term medication changes.

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===== Références =====

~~REFNOTES~~

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