Contribution of drug related problems to hospital admission in the elderly

June 2010
Journal of Nutrition, Health & Aging;Jun2010, Vol. 14 Issue 6, p477
Academic Journal
To investigate the frequency and type of drug related problems (DRPs) in geriatric patients (> 65 years), and to assess their contribution to hospital admission; to explore the appropriateness of drug therapy according to the Beers’ criteria. Cross-sectional observational survey of 110 elderly patients admitted during three non-consecutive months to the geriatric ward of a university hospital. Explorative assessment of appropriateness of drug therapy prior to hospital admission based on the Beers’ criteria A DRP was the dominant reason for hospital admission in 14 out of the 110 patients (12.7%); for another 9 patients (8.2%), a DRP was partly contributing to hospital admission. For these 23 patients, adverse drug reactions and noncompliance were the most important types of DRPs. We found no relationship between drug related hospital admission and intake of a drug listed in the Beers criteria for inappropriate drug use in the elderly. Patients admitted for a DRP took more drugs before admission than patients admitted because of other reasons. DRPs are an important cause for admission on the geriatric ward of our hospital. The drugs causing DRPs in this study were not those listed in the Beers list of inappropriate drugs in the elderly.


Related Articles

  • STOPP (Screening Tool of Older Persons' potentially inappropriate Prescriptions): application to acutely ill elderly patients and comparison with Beers' criteria. Gallagher, Paul; O'Mahony, Denis // Age & Ageing;Nov2008, Vol. 37 Issue 6, p673 

    Introduction: STOPP (Screening Tool of Older Persons' potentially inappropriate Prescriptions) is a new, systems-defined medicine review tool. We compared the performance of STOPP to that of established Beers' criteria in detecting potentially inappropriate medicines (PIMs) and related adverse...

  • Do Geriatric Conditions Increase Risk of Adverse Drug Reactions in Ambulatory Elders? Results From the VA GEM Drug Study. Steinman, Michael A.; Hanlon, Joseph T.; Sloane, Richard J.; Boscardin, W. John; Schmader, Kenneth E. // Journals of Gerontology Series A: Biological Sciences & Medical ;Apr2011, Vol. 66A Issue 4, p444 

    Background. Many clinicians prescribe cautiously to older adults with common geriatric conditions for fear of causing adverse drug reactions (ADRs). However, little is known about the association between these conditions and risk of ADRs. Methods. Using data from the VA Geriatric Evaluation and...

  • The prevalence of adverse drug event-related admissions at a local hospital in Malaysia. Mahmathi Karuppannan; Ting Kang Nee; Salmiah Mohd Ali; Wong Kok Thong; Boardman, Helen // Archives of Pharmacy Practice;Oct-Dec2013, Vol. 4 Issue 4, p160 

    Aims: To determine the prevalence of adverse drug event (ADE)-related admissions and the related drugs. Setting and Designs: This study was conducted prospectively in two medical wards in Malaysia. Subjects and Methods: Information was collected from patients' medical and medication charts over...

  • Pharmaceutical care in the general medicine ward of a tertiary care hospital in South India. Kannan, Gopal; Janardhan, Vasantha; Rani, Vanitha; Thennarasu, Palani; Kumar, Aravind; Reddy, Uma Maheswara // Journal of Pharmacy Research;May2011, Vol. 4 Issue 5, p1467 

    Objective: The study was conducted in 115 patients (63 males and 52 females) admitted in General Medicine ward of a 1700 bedded tertiary care teaching hospital in South India, to identify drug- therapy related problems and resolve them by providing pharmaceutical care. Method: A detailed data on...

  • Identificação de diagnósticos de enfermagem do domínio segurança/proteção em idosos admitidos no sistema hospitalar. Guedes, Helisamara Mota; Nakatani, Adélia Yaeko Kyosen; Santana, Rosimere Ferreira; Bachion, Maria Márcia // Revista Eletronica de Enfermagem;2009, Vol. 11 Issue 2, p249 

    In accordance with the necessity of rethinking nurse performance towards the health program of elderly people, the necessity appears of knowing these person's human answers at the moment of the hospital admission. This research had as objective: to analyze the nursing diagnosis profile (OF) of...

  • Social inequality in health and the utilization of health services among the elderly in Latin America. Micaela de Souza Noronha, Kenya Valéria; Andrade, Mônica Viegas // Revista Panamericana de Salud Publica;May/Jun2005, Vol. 17 Issue 5/6, p410 

    Objective. To learn if there is social inequality in health and in the utilization of health services among the elderly in six cities of Latin America: Buenos Aires, Argentina; São Paulo, Brazil; Santiago, Chile; Havana, Cuba; Mexico City, Mexico; and Montevideo, Uruguay. Methods. This study...

  • discharge lounge.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p661 

    A definition of the term "discharge lounge" which refers to a hospital unit where patients are held pending their release is presented.

  • Programmed investigation bed. Davies, Terry F. // British Medical Journal;10/18/1975, Vol. 4 Issue 5989, p149 

    Focuses on the use of programmed investigation bed. Usefulness in addition to a male medical ward; Reduction in waiting lists; Need for careful planning and full co-operation of all medical and nursing staff in the use of bed.

  • Hospitalizations for medication conditions on the rise among Americans ages 45 and older.  // Healthcare Purchasing News;Dec2010, Vol. 34 Issue 12, p16 

    The article discusses a report which was released by the U.S. Department of Health and Human Services' Agency for Healthcare Research and Quality and which indicates that the number of hospital admissions among Americans ages 45 and older for medication and drug-related conditions doubled...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics