Document Detail


"Take ten minutes": a dedicated ten minute medication review reduces polypharmacy in the elderly.
MedLine Citation:
PMID:  21046863     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Multiple and inappropriate medications are often the cause for poor health status in the elderly. Medication reviews can improve prescribing. This study aimed to determine if a ten minute medication review by a general practitioner could reduce polypharmacy and inappropriate prescribing in elderly patients. A prospective, randomised study was conducted. Patients over the age of 65 (n = 50) underwent a 10-minute medication review. Inappropriate medications, dosage errors, and discrepancies between prescribed versus actual medication being consumed were recorded. A questionnaire to assess satisfaction was completed following review. The mean number of medications taken by patients was reduced (p < 0.001). A medication was stopped in 35 (70%) patients. Inappropriate medications were detected in 27 (54%) patients and reduced (p < 0.001). Dose errors were detected in 16 (32%). A high level of patient satisfaction was reported. A ten minute medication review reduces polypharmacy, improves prescribing and is associated with high levels of patient satisfaction.
Authors:
E K Walsh; K Cussen
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Irish medical journal     Volume:  103     ISSN:  0332-3102     ISO Abbreviation:  Ir Med J     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-11-04     Completed Date:  2010-12-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0430275     Medline TA:  Ir Med J     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  236-8     Citation Subset:  IM    
Affiliation:
General Practice Training Unit, Waterford Regional Hospital, Dunmore Rd, Waterford. elbreathnach@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Humans
Medication Reconciliation*
Polypharmacy*
Prospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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