[Effect of ambulatory geriatric rehabilitation on polypharmacy and potentially inappropriate medication-an observational study].

Abstract:

BACKGROUND:Ambulatory geriatric rehabilitation (AGR) is a prevention program for multimorbid patients with the contractual agreement to prevent the need for care and hospital admissions and to promote self-sufficiency. It provides an opportunity to reduce the prevalence of polypharmacy and to discontinue potentially inadequate medication (PIM). AIM:The study investigated the effect of AGR on the number of drugs and PIM. MATERIAL AND METHODS:The observational longitudinal study was based on claims data from the statutory health insurance AOK Nordost. A comparison of the prescribed drugs with the PRISCUS list was performed. The study investigated the effect of AGR on the number of drugs prescribed and PIM in the period of two quarterly periods before and two quarterly periods after AGR. The numbers of prescribed statins, opioids, antidementia drugs, proton pump inhibitors and antidepressants were assessed and grouped into further prescriptions, new prescriptions and discontinued drug prescriptions. RESULTS:Out of 699 participants 682 (73% women, mean age 79 years, SD ± 5 years) were analyzed. The number of substances and PIM remained at the same levels after AGR. Psycholeptic, antiphlogistic and psychoanaleptic drugs were the most frequently prescribed PIM. The majority of statins, opioids, antidementia drugs, proton pump inhibitors and antidepressants were prescribed further. Antidementia drugs were the medication with the most newly started prescriptions. CONCLUSION:The AGR has no influence on the number of prescribed drugs and PIM. A structured drug review and a conversation with the general practitioner should be strengthened to improve drug safety and reduce polypharmacy as well as undertreatment.

journal_name

Z Gerontol Geriatr

authors

Kiel S,Zimak C,Schmidt CO,Chenot JF

doi

10.1007/s00391-019-01589-1

subject

Has Abstract

pub_date

2020-08-01 00:00:00

pages

416-422

issue

5

eissn

0948-6704

issn

1435-1269

pii

10.1007/s00391-019-01589-1

journal_volume

53

pub_type

杂志文章
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  • [Psychological factors and sleep in the lifeworld nursing home from the nursing home residents' perspective. A qualitative study].

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    abstract::Because of age-related modifications of the heart, lung, and circulation, several cardiopulmonary parameters present altered normal and reference values with increasing age. Other parameters, for example, arterial blood pressure, change only insignificantly with age. In older age groups it is more difficult to establi...

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