| Specialist medication review does not benefit short-term outcomes and net costs in continuing-care patients. | |
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MedLine Citation:
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PMID: 20817937 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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OBJECTIVES: to evaluate specialist geriatric input and medication review in patients in high-dependency continuing care. DESIGN: prospective, randomised, controlled trial. SETTING: two residential continuing care hospitals. Participants: two hundred and twenty-five permanent patients. Intervention: patients were randomised to either specialist geriatric input or regular input. The specialist group had a medical assessment by a geriatrician and medication review by a multidisciplinary expert panel. Regular input consisted of review as required by a medical officer attached to each ward. Reassessment occurred after 6 months. RESULTS: one hundred and ten patients were randomised to specialist input and 115 to regular input. These were comparable for age, gender, dependency levels and cognition. After 6 months, the total number of medications per patient per day fell from 11.64 to 11.09 in the specialist group (P = 0.0364) and increased from 11.07 to 11.5 in the regular group (P = 0.094). There was no significant difference in mortality or frequency of acute hospital transfers (11 versus 6 in the specialist versus regular group, P = 0.213). CONCLUSION: specialist geriatric assessment and medication review in hospital continuing care resulted in a reduction in medication use, but at a significant cost. No benefits in hard clinical outcomes were demonstrated. However, qualitative benefits and lower costs may become evident over longer periods. |
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Authors:
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George Pope; Noreen Wall; Catherine Mary Peters; Margaret O'Connor; Jean Saunders; Catherine O'Sullivan; Teresa M Donnelly; Thomas Walsh; Steven Jackson; Declan Lyons; David Clinch |
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Publication Detail:
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Type: Journal Article Date: 2010-09-04 |
Journal Detail:
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Title: Age and ageing Volume: 40 ISSN: 1468-2834 ISO Abbreviation: Age Ageing Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-04-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0375655 Medline TA: Age Ageing Country: England |
Other Details:
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Languages: eng Pagination: 307-12 Citation Subset: IM |
Affiliation:
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Mid Western Regional Hospital, Clinical Age Assessment Unit, Limerick, Ireland. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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