Adaptation of a deprescription intervention to the medication management of older people living in long-term care facilities
Por:
Sanz-Tamargo, G, Garcia-Cases, S, Navarro, A and Lumbreras, B
Publicada:
2 nov 2019
Ahead of Print:
1 sep 2019
Resumen:
Objectives: Inappropriate prescription is a problem related to aging and deprescription could be a possible strategy. The aim of this study was to adapt the available evidence on deprescribing to the medication management of older people living in long-term care facilities. Methods: The authors carried out a bibliographic search based on the most prevalent drugs in our context to develop a specific deprescribing intervention. A committee of experts reviewed this intervention which was later validated through an interobserver variability study. Finally, the authors evaluated it in a sample of patients through a controlled before-after study. Results: The authors included 119 subjects living in a public elderly long-term care center and 122 controls living in a center with similar clinical characteristics. The authors evaluated 852 medications, identifying a total of 175 (20.5%) potentially inappropriate medications and 162 (92.5%) drugs were deprescribed (1.4 per patient). The application of the intervention meant an annual saving of 9.525.25 euro. Conclusion: The implementation of a deprescribing intervention aimed at the most prevalent drugs prescribed in a particular setting improves the appropriateness of pharmacotherapy in the patients.
Filiaciones:
La Florida, Pharm Dept, Alicante, Spain
Gen Univ Hosp Elche, Pharm Serv, Alicante, Spain
Univ Miguel Hernandez, Dept Publ Hlth Hist Sci & Ginecol, Crtra Alicante Valencia Km81, Alicante 03550, Spain
CIBER Epidemiol & Publ Hlth, Madrid, Spain
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