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  • Atencion primaria · Oct 2024

    Multicenter Study

    [Pharmacological intervention in the medication review of institutionalised elderly patients under polypharmacy].

    • Cristina Peral Bolaños, Isabel Santaolalla García, Isabel Gómez Valbuena, Laura Vega Ruíz, Claudia Iglesias Carabias, Rocío Martín Valero, Martínez MartínezFernandoFDepartamento de Atención Farmacéutica, Facultad de Farmacia, Universidad de Granada, Granada, España., and Grupo de Trabajo.
    • Gerencia Asistencial de Atención Primaria de la Comunidad de Madrid, Dirección Asistencial Sureste, Madrid, España. Electronic address: crispb4@hotmail.com.
    • Aten Primaria. 2024 Oct 1; 56 (10): 102959102959.

    ObjectiveTo describe the Drug-Related Problems (DRP) and their resolution after pharmacological review in institutionalised elderly patients under polypharmacy.DesignDescriptive, retrospective cohort study from January to October of 2022.LocationTwelve nursing homes at the Community of Madrid.Participants295 patients aged 65 or older taking at least 5 chronic medications prescribed prior to the treatment review.InterventionsMedication reviews carried out by the pharmacist and agreed upon in face-to-face meetings between the primary care doctor, the nursing home doctor and the pharmacist.Main MeasurementsDetected DRP, types and resolution. A age, sex, and number of medications before and after the intervention. Pharmacological subgroups according to anatomical therapeutic chemical classification system (ATC) and active pharmaceutical ingredients involved in the detected DRPs.Results1425 DRP were detected, with a mean of 4.85 (SD 3.33) DRPs/patient. The most frequent DRP was reconciliation error (32.52%), followed by pharmaceutical regimen and dosaje. Among the 1425 improvement proposals, 86.73% of them were accepted.Significant statistically differences were observed between the number of medications per patient prior to the pharmacotherapy review (12.29) and after it (10.20), obtaining an average difference of 2.09 (95%CI: 1.98-2.21; P<.001).ConclusionsIt is found that the intervention of multidisciplinary team in which the pharmacist performs a revision of the medication decreased the number of prescribed medications. Therefore, it reduces polymedication and its associated risks.Copyright © 2024 The Authors. Publicado por Elsevier España S.L.U. All rights reserved.

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