scholarly journals Letter to the Editor Regarding the Article: “Inappropriate Prescribing to Elderly Patients in an Internal Medicine Ward”

2019 ◽  
Vol 32 (3) ◽  
pp. 249
Author(s):  
Mariana Alves ◽  
Marco Ribeiro Narciso ◽  
Teresa Fonseca ◽  
João Gorjão Clara
Keyword(s):  
Internal Medicine ◽  
Elderly Patients ◽  
Inappropriate Prescribing ◽  
Internal Medicine Ward ◽  
Letter To The Editor

N/a.

scholarly journals Assessment of Inappropriate Prescribing to Elderly Patients in an Internal Medicine Ward According to the 2019 Beers Criteria

2020 ◽  
Vol 03 (02) ◽  
Author(s):  
Cátia Pereira ◽  
Ana Guiomar ◽  
Alexandra Cunha ◽  
Catarina Alves Cunha ◽  
José Pedro Barbosa ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Elderly Patients ◽  
Inappropriate Prescribing ◽  
Beers Criteria ◽  
Internal Medicine Ward

scholarly journals Inappropriate Prescribing to Elderly Patients in an Internal Medicine Ward

2019 ◽  
Vol 32 (2) ◽  
pp. 141 ◽  
Author(s):  
Joana Urzal ◽  
Ana Bárbara Pedro ◽  
Inês Ferraz De Oliveira ◽  
Inês Romero ◽  
Miguel Achega ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Elderly Patients ◽  
Proton Pump Inhibitors ◽  
Proton Pump ◽  
Inappropriate Prescribing ◽  
Inappropriate Drug ◽  
Published Data ◽  
Internal Medicine Ward ◽  
Medical Database ◽  
Increased Risk

Introduction: Polypharmacy is often observed in elderly patients and is associated with an increased risk of adverse drug reactions, side effects and interactions. Clinicians should be alert to inappropriate drug prescribing and reduce polypharmacy. Material and Methods: Observational, longitudinal, retrospective and descriptive study in an internal medicine ward in a Portuguese hospital. Polypharmacy was defined as the use of five or more different medicines. The purpose of this study was to describe the prevalence of polypharmacy and inappropriate prescribing at admission and discharge in an internal medicine ward, according to deprescribing.org guidelines/algorithms. A total of 838 consecutive patients were admitted between January and July 2017. All patients were aged under 65 years old, and those who died before discharge were excluded. Patients’ medications were reviewed from a medical database at hospital admission and discharge. We examined whether patients were taking anticoagulants, proton pump inhibitors, benzodiazepines, antipsychotics and/or antihyperglycemic medication.Results: A total of 483 patients were included, mean age was 79.2 ± 8.0 years, and 42% of patients were male. Median number of medications at admission and discharge was six. Polypharmacy was present in more than 70% of admitted patients. Proton pump inhibitors were the most common inappropriate prescription at discharge (17.2%). Discussion: This study demonstrated a low use of inappropriate medicine (11.2% - 17.2%) in older people discharged from hospital, when compared to other studies. Conclusion: Our study shows that polypharmacy is present in more than 70% of elderly admitted patients. Nevertheless, the drug inappropriateness rate was not significantly affected by polypharmacy at both admission and discharge, being overall lower than published data.

scholarly journals Life worth living: cross-sectional study on the prevalence and determinants of the wish to die in elderly patients hospitalized in an internal medicine ward

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Marc-Antoine Bornet ◽  
Eve Rubli Truchard ◽  
Gérard Waeber ◽  
Peter Vollenweider ◽  
Mathieu Bernard ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Quality Of Life ◽  
Elderly Patients ◽  
Cross Sectional Study ◽  
Worth Living ◽  
Sectional Study ◽  
Internal Medicine Ward ◽  
Cross Sectional ◽  
Wish To Die

Abstract Background Elderly people frequently express the wish to die: this ranges from a simple wish for a natural death to a more explicit request for death. The frequency of the wish to die and its associated factors have not been assessed in acute hospitalization settings. This study aimed to investigate the prevalence and determinants of the wish to die in elderly (≥65 years) patients hospitalized in an internal medicine ward. Methods This cross-sectional study was conducted between 1 May, 2018, and 30 April, 2019, in an acute care internal medicine ward in a Swiss university hospital. Participants were a consecutive sample of 232 patients (44.8% women, 79.3 ± 8.1 years) with no cognitive impairment. Wish to die was assessed using the Schedule of Attitudes toward Hastened Death-senior and the Categories of Attitudes toward Death Occurrence scales. Results Prevalence of the wish to die was 8.6% (95% confidence interval [CI]: 5.3–13.0). Bivariate analysis showed that patients expressing the wish to die were older (P = .014), had a lower quality of life (P < .001), and showed more depressive symptoms (P = .044). Multivariable analysis showed that increased age was positively (odds ratio [OR] for a 5-year increase: 1.43, 95% CI 0.99–2.04, P = .048) and quality of life negatively (OR: 0.54, 95% CI 0.39–0.75, P < 0.001) associated with the likelihood of wishing to die. Participants did not experience stress during the interview. Conclusions Prevalence of the wish to die among elderly patients admitted to an acute hospital setting is low, but highly relevant for clinical practice. Older age increases and better quality of life decreases the likelihood of wishing to die. Discussion of death appears to be well tolerated by patients.

scholarly journals Predictors of in-hospital mortality in elderly patients with bacteraemia admitted to an Internal Medicine ward

2011 ◽  
Vol 4 (1) ◽  
pp. 33 ◽  
Author(s):  
Marta Rebelo ◽  
Branca Pereira ◽  
Jandira Lima ◽  
Joana Decq-Mota ◽  
José D Vieira ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Elderly Patients ◽  
Hospital Mortality ◽  
Internal Medicine Ward
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