Title :

The impact of including a medication review in an integrated care pathway: a pilot study.

Author(s) :

Payen, Anaïs [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Godard-Sebillotte, Claire [Auteur]
Sourial, Nadia [Auteur]
Soula, Julien [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Verloop, David [Auteur]
Agence Régionale de la Santé [ARS]
Defebvre, Marguerite Marie [Auteur]
Agence Régionale de la Santé [ARS]
Dupont, Corinne [Auteur]
Agence Régionale de la Santé [ARS]
Dambre, Delphine [Auteur]
Lamer, Antoine [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Beuscart, Jean-Baptiste [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Journal title :

British Journal of Clinical Pharmacology

Abbreviated title :

Br J Clin Pharmacol

Volume number :

89

Pages :

1036-1045

Publication date :

2022-09-29

ISSN :

1365-2125

English keyword(s) :

hospital readmission
integrated care
older adults
potentially inappropriate medications

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Aim The objective of the present study was to measure the impact of the intervention of combining a medication review with an integrated care approach on potentially inappropriate medications (PIMs) and hospital ...
Show more >Aim The objective of the present study was to measure the impact of the intervention of combining a medication review with an integrated care approach on potentially inappropriate medications (PIMs) and hospital readmissions in frail older adults. Methods A cohort of hospitalized older adults enrolled in the French PAERPA integrated care pathway (the exposed cohort) was matched retrospectively with hospitalized older adults not enrolled in the pathway (unexposed cohort) between January 1st, 2015, and December 31st, 2018. The study was an analysis of French health administrative database. The inclusion criteria for exposed patients were admission to an acute care department in a general hospital, age 75 years or over, at least three comorbidities or the prescription of diuretics or oral anticoagulants, discharge alive and performance of a medication review. Results For the study population (n = 582), the mean ± standard deviation age was 82.9 ± 4.9 years, and 380 (65.3%) were women. Depending on the definition used, the overall median number of PIMs ranged from 2 [0;3] on admission to 3 [0;3] at discharge. The intervention was not associated with a significant difference in the mean number of PIMs. Patients in the exposed cohort were half as likely to be readmitted to hospital within 30 days of discharge relative to patients in the unexposed cohort. Conclusion Our results show that a medication review was not associated with a decrease in the mean number of PIMs. However, an integrated care intervention including the medication review was associated with a reduction in the number of hospital readmissions at 30 days.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

Université de Lille
CHU Lille

Collections :

• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2023-11-15T03:18:37Z
2024-04-08T09:54:23Z