| Adherence to topical glaucoma medication during hospitalization. | |
| | |
MedLine Citation:
|
PMID: 21048511 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
PURPOSE: To describe the patterns and predictors of adherence to topical glaucoma medication during hospitalization for medical disease. DESIGN: Retrospective, nonrandomized, and comparative case-series. METHODS: Medical records of all the patients hospitalized with a secondary diagnosis of glaucoma between January 2006 and March 2009 were reviewed. Baseline characteristics of all patients were recorded including sex, ethnicity, age, primary medical diagnosis, and the length of stay. The outpatient topical glaucoma medications known on admission and prescribed at the time of admission were recorded, and the numbers of outpatient and inpatient systemic medications were tracked. Adherence was defined as receiving more than 75% of the expected doses. The patient discharge instructions were also reviewed. RESULTS: Of the 184 patients included, 98 (53%) were female, 102 (55%) were African-American, and the mean age was 78.3 (±11.7) years old. The most common reason for hospitalization was cardiovascular disease and the median length of stay was 9.5 days. Adherence was achieved in 51.6% of patients. Knowing (P<0.01) and prescribing (P<0.01) the complete outpatient regimen upon admission was associated with adherence. Neither class of topical glaucoma medication nor the number of medications was associated with adherence. Doses were most commonly omitted owing to the failure to prescribe (72.3%). Discharge instructions correctly listed the outpatient regimen 54.3% of the time. CONCLUSION: Adherence to the topical glaucoma medications was suboptimal during hospitalization; this is likely related to the poor reporting of outpatient regimen upon admission. The effect of hospitalization may be a factor to consider in future studies of adherence and when evaluating glaucoma patients after hospitalization. |
| | |
Authors:
|
Salman J Yousuf; Leslie S Jones |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of glaucoma Volume: 20 ISSN: 1536-481X ISO Abbreviation: J. Glaucoma Publication Date: 2011 Dec |
Date Detail:
|
Created Date: 2011-11-29 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9300903 Medline TA: J Glaucoma Country: United States |
Other Details:
|
Languages: eng Pagination: 573-6 Citation Subset: IM |
Affiliation:
|
*Department of Ophthalmology, Howard University Hospital, Washington, District of Columbia †Mercy Catholic Medical Center, Mercy Health System of Southeast Pennsylvania, Philadelphia, PA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Prevalence and Correlates of Self-reported Nonadherence With Eye Drop Treatment: The Belgian Complia...
Next Document: Variability in the calibration error of the goldmann applanation tonometer.