Abstract：
BACKGROUND:Underuse of medication considered beneficial is particularly common in elderly patients. A new Screening Tool to Alert Doctors to the Right Treatment (START) has been published to identify potential prescribing omissions. OBJECTIVE:To quantify and characterize potential prescribing omissions of cardiovascular risk management therapy using START criteria. SETTING:This study was conducted in the Stroke Unit of the university teaching hospital of Cova da Beira Hospital Centre, Covilhã, located in the Eastern Central Region of Portugal. METHOD:During 6 months, the medical files of all elderly patients (age ≥ 65 years) admitted with acute cardiovascular disease were reviewed and the START criteria applied to the information of medication, at admission and at the time of discharge from the hospital Stroke Unit. MAIN OUTCOME MEASURE:Potential prescribing omissions of cardiovascular and endocrine pharmacological therapy were identified and the difference in the potential prescribing omissions between admission and discharge from hospital Stroke Unit was also evaluated. RESULTS:At the time of admission to the Stroke Unit, 101 potential prescribing omissions were found in 68.1 % (n = 91) of elderly (average 1.11 omissions per patient), of which 84.2 % (n = 85) were corrected at the time of discharge. In 14 patients, 16 omissions found at admission were not corrected during hospitalization, and in 5 patients 5 new omissions were detected. CONCLUSION:Prescribing omissions of beneficial drugs are highly prevalent in acutely ill admitted to a Stroke Unit. START criteria represent a simple, evidence-based and easy-to-use tool to screen underuse of cardiovascular risk management therapy in elderly patients.
journal_name
Int J Clin Pharmjournal_title
International journal of clinical pharmacyauthors
Borges EP,Morgado M,Macedo AFdoi
10.1007/s11096-012-9635-1subject
Has Abstractpub_date
2012-06-01 00:00:00pages
481-9issue
3eissn
2210-7703issn
2210-7711journal_volume
34pub_type
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journal_title：International journal of clinical pharmacy
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pub_type： 杂志文章,多中心研究
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更新日期：2012-12-01 00:00:00
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