Medication Discrepancy and Potentially Inappropriate Medication in Older Chinese-American Home-Care Patients After Hospital Discharge
یکشنبه , 13 مرداد 1392 ساعت 23:58 دسته بندی : علم پزشکی ,دانلود مقاله :
Medication Discrepancy and Potentially Inappropriate Medication in Older Chinese-American Home-Care Patients After Hospital Discharge 2013
نویسندگان :
Sophia H. Hu, PhD, RN; Elizabeth Capezuti, PhD, RN, FAAN; Janice B. Foust, PhD, RN: Marie P. Boltz, PhD, RN, GNP-BC ; and Hongsoo Kim, PhD, MPH, RN3
چکیده :
Background: Studies of potential medication problems among older adults have focused on English-speaking
populations in a single health care setting or a single potential medication problem. No previous studies investigated
potential inappropriate medications (PIMs) and medication discrepancies (MDs) among older Chinese Americans
during care transitions from hospital discharge to home care.
Objective: The aims of this study were to examine, in older Chinese Americans, the prevalence of both PIMs and
MDs; the relationship between PIMs and MDs; and the patient and hospitalization characteristics associated with them
during care transitions from hospital discharge to home care.
Methods: This cross-sectional study was conducted with a sample of older Chinese Americans from a large certified
nonprofit home-care agency in New York City from June 2010 to July 2011. PIMs were identified by using 2002
diagnosis-independent Beers criteria. MDs were identified by comparing the differences between hospital discharge
medication order and home-care admission medication order. Prevalence of PIMs and MDs and their relationship was
determined. Logistic regression examined the relationship between hospitalization and patient characteristics with
PIMs and MDs.
Results: The sample consisted of 82 older Chinese-American home-care patients. Twenty (24.3%) study participants
were prescribed at least one PIM at hospital discharge. Fifty-one (67.1%) study participants experienced at least
one MD. A positive correlation was found between the occurrence of PIMs and MDs (r 0.22; P 0.05). Number
of medications was the only significant factor associated with both PIMs and MDs. In addition, older age and more
hospitalization days were associated with PIMs.
Conclusions: The evident prevalence of PIMs and MDs supports the practice of evaluating the appropriateness
of medications while reconciling inconsistencies in medication regimens. The number of medications was the only
factor associated with both PIMs and MDs, underscoring the need to address polypharmacy as a multifaceted
threat to patient health. (Am J Geriatr Pharmacother. 2012;10:284–295) © 2012 Elsevier HS Journals, Inc. All
rights reserved.
?> care transitions , medication discrepancies , medication reconciliation , older Chinese Americans , potentially inappropriate medications , دانلود مقالهمطالب مرتبط :
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