Abstract:
OBJECTIVE:To summarise the evidence on interventions aimed at optimising the drug treatment of hospitalised elderly patients. MATERIAL AND METHODS:We conducted a search in the main medical literature databases, selecting prospective studies of hospitalised patients older than 65 years who underwent interventions aimed at optimising drug treatment, decreasing polypharmacy and improving the medication appropriateness, health outcomes and exploitation of the healthcare system. RESULTS:We selected 18 studies whose interventions consisted of medication reviews, detection of predefined drugs as potentially inappropriate for the elderly, counselling from a specialised geriatric team, the use of a computer support system for prescriptions and specific training for the nursing team. Up to 14 studies assessed the medication appropriateness, 13 of which showed an improvement in one or more of the parameters. Seven studies measured the impact of the intervention on polypharmacy, but only one improved the outcomes compared with the control. Seven other studies analysed mortality, but none of them showed a reduction in that rate. Only 1 of 6 studies showed a reduction in the number of hospital readmissions, and 1 of 4 studies showed a reduction in the number of emergency department visits. CONCLUSIONS:Despite the heterogeneity of the analysed interventions and variables, we obtained better results in the process variables (especially in medication appropriateness) than in those that measured health outcomes, which had greater variability.
journal_name
Rev Clin Espjournal_title
Revista clinica espanolaauthors
Gutiérrez Valencia M,Martínez Velilla N,Lacalle Fabo E,Beobide Telleria I,Larrayoz Sola B,Tosato Mdoi
10.1016/j.rce.2016.01.005subject
Has Abstractpub_date
2016-05-01 00:00:00pages
205-21issue
4eissn
0014-2565issn
1578-1860pii
S0014-2565(16)00008-4journal_volume
216pub_type
杂志文章abstract:UNLABELLED:The increase in the mean populational age has increased the number of elderly people eligible for cardiac surgery. The aortic pathology represents the most common valvular pathology, mainly of degenerative etiology. The efficiency of the aortic valve replacement in people aged over 75 years was studied, with...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1998-05-01 00:00:00
abstract::Basing heart failure (HF) classification on the echocardiographic values of left ventricular ejection fraction (LVEF) has been useful in defining two sub-types of HF: HF with reduced LVEF and HF with preserved LVEF. A new category has recently been defined: HF with midrange LVEF (40-49%). When current information is t...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2017.01.013
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journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
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journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:
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abstract:BACKGROUND:Fractures are the clinical complication of osteoporosis. There are no previous studies that describe the prevalence of vertebral fractures (VF) in patients admitted into a hospital due to a hip fracture (HF). OBJECTIVE:To study the prevalence of vertebral fractures in elderly women in the moment of their ad...
journal_title:Revista clinica espanola
pub_type: 杂志文章,多中心研究
doi:10.1157/13109839
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journal_title:Revista clinica espanola
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abstract::Cystic neoplasms of the pancreas make up a group of uncommon tumors. Their relevance lies upon their favorable prognosis after resection and the fact of being commonly mistaken with pseudocysts. Based on five patients treated at our hospital in the last few years we make an update review of the literature on these tum...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:
更新日期:1999-05-01 00:00:00
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journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1994-12-01 00:00:00
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journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1990-06-01 00:00:00
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journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13063526
更新日期:2004-07-01 00:00:00
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journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1993-10-01 00:00:00
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journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
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journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2020.06.005
更新日期:2020-07-13 00:00:00
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journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1989-12-01 00:00:00
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journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1996-05-01 00:00:00
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journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1994-07-01 00:00:00
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journal_title:Revista clinica espanola
pub_type: 杂志文章
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journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1997-06-01 00:00:00
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journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
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journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
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journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1999-12-01 00:00:00
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journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13075569
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journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1996-12-01 00:00:00
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journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13074165
更新日期:2005-04-01 00:00:00
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journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/s0014-2565(02)70990-9
更新日期:2002-02-01 00:00:00
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journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1990-10-01 00:00:00
abstract::BACKGROUND. In 1997, The Fourth International Workshop-Conference on Gestational Diabetes Mellitus (GDM) recommended the use of Carpenter and Coustan diagnostic criteria instead of those of Sullivan and Mahan used until then. The objective of this work was to study the incidence of GDM in the southeast Madrid area by ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/s0014-2565(02)71008-4
更新日期:2002-03-01 00:00:00
abstract:BACKGROUND:Sarcopenia is characterized by the loss of skeletal muscle mass and strength and represents a risk factor for frailty, loss of independence and physical disabilities. This study aimed to assess the prevalence of sarcopenia in a population of patients admitted to a media and long-stay unit. PATIENTS AND METH...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2014.02.018
更新日期:2014-08-01 00:00:00
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更新日期:2017-05-01 00:00:00