Purpose: To assess the pattern of in-hospital changes in drug use in older patients from 2010 to 2016. Methods: People aged 65 years or more acutely hospitalized in those internal medicine and geriatric wards that did continuously participate to the REgistro POliterapie Società Italiana di Medicina Interna register from 2010 to 2016 were selected. Drugs use were categorized as 0 to 1 drug (very low drug use), 2 to 4 drugs (low drug use), 5 to 9 drugs (polypharmacy), and 10 or more drugs (excessive polypharmacy). To assess whether or not prevalence of patients in relation to drug use distribution changed overtime, adjusted prevalence ratios (PRs) was estimated with log-binomial regression models. Results: Among 2120 patients recruited in 27 wards continuously participating to data collection, 1882 were discharged alive and included in this analysis. The proportion of patients with very low drug use (0-1 drug) at hospital discharge increased overtime, from 2.7% in 2010 to 9.2% in 2016. Results from a log-logistic adjusted model confirmed the increasing PR of these very low drug users overtime (particularly in 2014 vs 2012, PR 1.83 95% CI 1.14-2.95). Moreover, from 2010 to 2016, there was an increasing number of patients who, on polypharmacy at hospital admission, abandoned it at hospital discharge, switching to the very low drug use group. Conclusion: This study shows that in internal medicine and geriatric wards continuously participating to the REgistro POliterapie Società Italiana di Medicina Interna register, the proportion of patients with a very low drug use at hospital discharge increased overtime, thus reducing the therapeutic burden in this at risk population.
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Data di pubblicazione: | 2017 | |
Titolo: | Pattern of in-hospital changes in drug use in the older people from 2010 to 2016 | |
Autori: | Carlotta, Franchi; Ilaria, Ardoino; Alessandro, Nobili; Luca, Pasina; Pier Mannuccio Mannucci, ; Alessandra, Marengoni; Francesco, Perticone; Domenico, Prisco; Elena, Silvestri; Caterina, Cenci; Giacomo, Emmi; Gianni, Biolo; Gianfranco, Guarnieri; Michela, Zanetti; Giovanni, Fernandes; Massimo, Vanoli; Giulia, Grignani; Gianluca, Casella; Mauro, Bernardi; Silvia Li Bassi, ; Luca, Santi; Giacomo, Zaccherini; Elmo, Mannarino; Graziana, Lupattelli; Vanessa, Bianconi; Francesco, Paciullo; Ranuccio, Nuti; Roberto, Valenti; Martina, Ruvio; Silvia, Cappelli; Alberto, Palazzuoli; Teresa, Salvatore; Ferdinando Carlo Sasso, ; Domenico, Girelli; Oliviero, Olivieri; Thomas, Matteazzi; Mario, Barbagallo; Lidia, Plances; Roberta, Alcamo; Giuseppe, Licata; Luigi, Calvo; Maria, Valenti; Marco, Zoli; Raffaella, Arnò; Franco Laghi Pasini, ; Pier Leopoldo Capecchi, ; Maurizio, Bicchi; Giuseppe, Palasciano; Maria Ester Modeo, ; Maria, Peragine; Fabrizio, Pappagallo; Stefania, Pugliese; Carla Di Gennaro, ; Alfredo, Postiglione; Maria Rosaria Barbella, ; Francesco De Stefano, ; Maria Domenica Cappellini, ; Giovanna, Fabio; Sonia, Seghezzi; Margherita Migone De Amicis, ; Daniela, Mari; Paolo Dionigi Rossi, ; Sarah, Damanti; Barbara Brignolo Ottolini, ; Sarah, Damanti; Gino Roberto Corazza, ; Emanuela, Miceli; Marco Vincenzo Lenti, ; Donatella, Padula; Giovanni, Murialdo; Alessio, Marra; Federico, Cattaneo; Maria Beatrice Secchi, ; Davide, Ghelfi; Luigi, Anastasio; Lucia, Sofia; Maria, Carbone; Giovanni, Davì; Maria Teresa Guagnano, ; Simona, Sestili; Gerardo, Mancuso; Daniela, Calipari; Mosè, Bartone; Maria Rachele Meroni, ; Paolo Cavallo Perin, ; Bartolomeo, Lorenzati; Gabriella, Gruden; Graziella, Bruno; Cristina, Amione; Paolo, Fornengo; Rodolfo, Tassara; Deborah, Melis; Lara, Rebella; Giuseppe, Delitala; Vincenzo, Pretti; Maristella Salvatora Masala, ; Luigi, Bolondi; Leonardo, Rasciti; Ilaria, Serio; Filippo Rossi Fanelli, ; Antonio, Amoroso; Alessio, Molfino; Enrico, Petrillo; Giuseppe, Zuccalà; Francesco, Franceschi; Guido De Marco, ; Cordischi, Chiara; Sabbatini, Marta; Giuseppe, Romanelli; Claudia, Amolini; Deborah, Chiesa; Alessandra, Marengoni; Antonio, Picardi; Umberto Vespasiani Gentilucci, ; Paolo, Gallo; Giorgio, Annoni; Maurizio, Corsi; Sara, Zazzetta; Giuseppe, Bellelli; Franco, Arturi; Elena, Succurro; Mariangela, Rubino; Giorgio, Sesti; Paola, Loria; Maria Angela Becchi, ; Gianfranco, Martucci; Alessandra, Fantuzzi; Mauro, Maurantonio; Giuseppe, Delitala; Stefano, Carta; Sebastiana, Atzori; Maria Grazia Serra, ; Maria Antonietta Bleve, ; Laura, Gasbarrone; Maria Rosaria Sajeva, ; Antonio, Brucato; Silvia, Ghidoni; Paola Di Corato, ; Giancarlo, Agnelli; Emanuela, Marchesini; Fabrizio, Fabris; Michela, Carlon; Francesca, Turatto; Aldo, Baritusso; Francesca, Turatto; Roberto, Manfredini; Christian, Molino; Marco, Pala; Fabio, Fabbian; Benedetta, Boari; Alfredo De Giorgi, ; Giuseppe, Paolisso; Maria Rosaria Rizzo, ; Maria Teresa Laieta, ; Giovanbattista, Rini; Pasquale, Mansueto; Ilenia, Pepe; Claudio, Borghi; Enrico, Strocchi; Valeria De Sando, ; Carlo, Sabbà; Francesco Saverio Vella, ; Patrizia, Suppressa; Raffaella, Valerio; Stefania, Pugliese; Caterina, Capobianco; Luigi, Fenoglio; Christian, Bracco; Alessia Valentina Giraudo, ; Elisa, Testa; Cristina, Serraino; Silvia, Fargion; Paola, Bonara; Giulia, Periti; Marianna, Porzio; Flora, Peyvandi; Alberto, Tedeschi; Raffaella, Rossio; Valter, Monzani; Valeria, Savojardo; Christian, Folli; Maria, Magnini; Francesco, Salerno; Alessio, Conca; Giulia, Gobbo; Alessio, Conca; Balduini, Carlo L.; Giampiera, Bertolino; Stella, Provini; Federica, Quaglia; Franco, Dallegri; Luciano, Ottonello; Luca, Liberale; Wu Sheng Chin, ; Laura, Carassale; Silvia, Caporotundo; Giancarlo, Traisci; Lucrezia De Feudis, ; Silvia Di Carlo, ; Nicola Lucio Liberato, ; Alberto, Buratti; Tiziana, Tognin; Giovanni Battista Bianchi, ; Sabrina, Giaquinto; Francesco, Purrello; Antonino Di Pino, ; Salvatore, Piro; Renzo, Rozzini; Lina, Falanga; Giuseppe, Montrucchio; Elisabetta, Greco; Pietro, Tizzani; Paolo, Petitti; Antonio, Perciccante; Alessia, Coralli; Raffaella, Salmi; Piergiorgio, Gaudenzi; Susanna, Gamberini; Andrea, Semplicini; Lucia, Gottardo; Gianluigi, Vendemiale; Gaetano, Serviddio; Roberta, Forlano; Cesare, Masala; Antonio, Mammarella; Valeria, Raparelli; Francesco, Violi; Stefania, Basili; Ludovica, Perri; Raffaele, Landolfi; Massimo, Montalto; Antonio, Mirijello; Carla, Vallone; Martino, Bellusci; Donatella, Setti; Filippo, Pedrazzoli; Luigina, Guasti; Luana, Castiglioni; Andrea, Maresca; Alessandro, Squizzato; Marta, Molaro; Marco, Bertolotti; Chiara, Mussi; Maria Vittoria Libbra, ; Andrea, Miceli; Elisa, Pellegrini; Lucia, Carulli; Francesco, Perticone; Angela, Sciacqua; Michele, Quero; Chiara, Bagnato; Roberto, Corinaldesi; Roberto De Giorgio, ; Mauro, Serra; Valentina, Grasso; Eugenio, Ruggeri; Andrea, Salvi; Roberto, Leonardi; Chiara, Grassini; Ilenia, Mascherona; Giorgio, Minelli; Francesca, Maltese; Armando, Gabrielli; Massimo, Mattioli; William, Capeci; Giuseppe Pio Martino, ; Salvatore, Corrao; Silvia, Messina; Riccardi, Ghio; Serena, Favorini; Anna Dal Col, ; Salvatore, Minisola; Luciano, Colangelo; Antonella, Afeltra; Pamela, Alemanno; Benedetta, Marigliano; Pietro, Castellino; Julien, Blanco; Luca, Zanoli; Marco, Cattaneo; Paola, Fracasso; Maria Valentina Amoruso, ; Valter, Saracco; Marisa, Fogliati; Carlo, Bussolino; Vittorio, Durante; Giovanna, Eusebi; Daniela, Tirotta; Francesca, Mete; Miriam, Gino; Antonio, Cittadini; Michele, Arcopinto; Andrea, Salzano; Emanuele, Bobbio; Alberto Maria Marra, ; Domenico, Sirico; Guido, Moreo; Francesco, Scopelliti; Francesca, Gasparini; Melissa, Cocca; Nieves Ramirez Duque, ; Alberto Muela Molinero, ; Pedro Abad Requejo, ; Vanessa Lopez Pelaez, ; Lara, Tamargo; Xavier Corbella Viros, ; Francesc, Formiga; Jesus Diez Manglano, ; Esperanza Bejarano Tello, ; Esther Del Corral Behamonte, ; Maria Sevil Puras, ; Manuel, Romero; Blanca Pinilla Llorente, ; Cristina Lopez Gonzalez-Cobos, ; Victoria Villalba Garcia, M.; Juan Bosco Lopez Saez, ; Susana Sanz Baena, ; Marta Arroyo Gallego, ; Concepcion Gonzalez Becerra, ; Antonio Fernandez Moyano, ; Mercedes Gomez Hernandez, ; Manuel Poyato Borrego, ; Raquel Pacheco Cuadros, ; Florencia Perez Rojas, ; Beatriz Garcia Olid, ; Sara Carrascosa Garcia, ; Alfonso Gonzalez-Cruz Cervellera, ; Marta Peinado Martinez, ; Alberto Ruiz Cantero, ; Antonio Albarracín Arraigosa, ; Montserrat Godoy Guerrero, ; Miguel Angel Barón Ramos, ; Jose Manuel Machin, ; Ignacio Novo Veleiro, ; Lucia Alvela Suarez, ; Alfonso, Lopez; David Rubal Bran, ; Iria Iñiguez Vazquez, ; Monica Rios, Prego. | |
Rivista: | PHARMACOEPIDEMIOLOGY AND DRUG SAFETY | |
Keywords: | drug use, excessive polypharmacy, internal medicine and geriatric wards, older people, pharmacoepidemiology, polypharmacy | |
Abstract in inglese: | Purpose: To assess the pattern of in-hospital changes in drug use in older patients from 2010 to 2016. Methods: People aged 65 years or more acutely hospitalized in those internal medicine and geriatric wards that did continuously participate to the REgistro POliterapie Società Italiana di Medicina Interna register from 2010 to 2016 were selected. Drugs use were categorized as 0 to 1 drug (very low drug use), 2 to 4 drugs (low drug use), 5 to 9 drugs (polypharmacy), and 10 or more drugs (excessive polypharmacy). To assess whether or not prevalence of patients in relation to drug use distribution changed overtime, adjusted prevalence ratios (PRs) was estimated with log-binomial regression models. Results: Among 2120 patients recruited in 27 wards continuously participating to data collection, 1882 were discharged alive and included in this analysis. The proportion of patients with very low drug use (0-1 drug) at hospital discharge increased overtime, from 2.7% in 2010 to 9.2% in 2016. Results from a log-logistic adjusted model confirmed the increasing PR of these very low drug users overtime (particularly in 2014 vs 2012, PR 1.83 95% CI 1.14-2.95). Moreover, from 2010 to 2016, there was an increasing number of patients who, on polypharmacy at hospital admission, abandoned it at hospital discharge, switching to the very low drug use group. Conclusion: This study shows that in internal medicine and geriatric wards continuously participating to the REgistro POliterapie Società Italiana di Medicina Interna register, the proportion of patients with a very low drug use at hospital discharge increased overtime, thus reducing the therapeutic burden in this at risk population. | |
Digital Object Identifier (DOI): | 10.1002/pds.4330 | |
Handle: | http://hdl.handle.net/11392/2381188 | |
Appare nelle tipologie: | 03.1 Articolo su rivista |