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Impact of geriatric consultation on the number of medications in hospitalized older patients.
Consult Pharm 2012; 27(1):42-8CP

Abstract

OBJECTIVE

This study aims to determine the impact of the geriatric consultation on the number of medications in hospitalized older adults and the corresponding financial impact.

DESIGN

Retrospective chart review of patients seen by geriatric consultants.

SETTING

Tertiary-care teaching hospital.

MAIN OUTCOME MEASURES

The number of medications prescribed before hospitalization, at time of consult, and at discharge, and the number and category of medications adjusted by the geriatrician. The monthly cost of the pharmaceutical interventions was computed based on the drugstore.com cost of acquisition of drugs.

RESULTS

A cohort of 62 patients was reviewed with a mean age of 84.6 (± 7.3) years; 79% were women. The patients presented with an average of 5.6 (± 2.1) comorbidities of which hypertension, dementia, and musculoskeletal disorders were the most common. The most common reasons for geriatric consultations were neuropsychiatric, nutritional, and gait-related issues. The geriatric consultant identified 2.96 (± 1.5) additional diagnoses, of which debility, delirium, and pain were the most prevalent. The average number of medications on admission was 7.7 (± 3.7) and at discharge was 9.5 (± 2.12). The average number of medications adjusted by the geriatric consultant was 2.96 (± 2.12). The most common classes of adjusted medications were pain medications (22%), nutrition (13%), bowel regimens (8.5%), antipsychotics (8%), and osteoporosis (8%). The cost impact of the pharmaceutical intervention ranged between -$343 and $2,607, with an average increase of $102 (± 368).

CONCLUSION

Geriatric consultations increased the total number of medications and the cost of medications used by elderly patients.

Authors+Show Affiliations

Clinical Pharmacy Department, St. John's University School of Pharmacy and Allied Health Professions, Queens, NY, USA. saadm@stjohns.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22231997

Citation

Saad, Maha, et al. "Impact of Geriatric Consultation On the Number of Medications in Hospitalized Older Patients." The Consultant Pharmacist : the Journal of the American Society of Consultant Pharmacists, vol. 27, no. 1, 2012, pp. 42-8.
Saad M, Harisingani R, Katinas L. Impact of geriatric consultation on the number of medications in hospitalized older patients. Consult Pharm. 2012;27(1):42-8.
Saad, M., Harisingani, R., & Katinas, L. (2012). Impact of geriatric consultation on the number of medications in hospitalized older patients. The Consultant Pharmacist : the Journal of the American Society of Consultant Pharmacists, 27(1), pp. 42-8. doi:10.4140/TCP.n.2012.42.
Saad M, Harisingani R, Katinas L. Impact of Geriatric Consultation On the Number of Medications in Hospitalized Older Patients. Consult Pharm. 2012;27(1):42-8. PubMed PMID: 22231997.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Impact of geriatric consultation on the number of medications in hospitalized older patients. AU - Saad,Maha, AU - Harisingani,Ruchika, AU - Katinas,Lori, PY - 2012/1/11/entrez PY - 2012/1/11/pubmed PY - 2012/2/15/medline SP - 42 EP - 8 JF - The Consultant pharmacist : the journal of the American Society of Consultant Pharmacists JO - Consult Pharm VL - 27 IS - 1 N2 - OBJECTIVE: This study aims to determine the impact of the geriatric consultation on the number of medications in hospitalized older adults and the corresponding financial impact. DESIGN: Retrospective chart review of patients seen by geriatric consultants. SETTING: Tertiary-care teaching hospital. MAIN OUTCOME MEASURES: The number of medications prescribed before hospitalization, at time of consult, and at discharge, and the number and category of medications adjusted by the geriatrician. The monthly cost of the pharmaceutical interventions was computed based on the drugstore.com cost of acquisition of drugs. RESULTS: A cohort of 62 patients was reviewed with a mean age of 84.6 (± 7.3) years; 79% were women. The patients presented with an average of 5.6 (± 2.1) comorbidities of which hypertension, dementia, and musculoskeletal disorders were the most common. The most common reasons for geriatric consultations were neuropsychiatric, nutritional, and gait-related issues. The geriatric consultant identified 2.96 (± 1.5) additional diagnoses, of which debility, delirium, and pain were the most prevalent. The average number of medications on admission was 7.7 (± 3.7) and at discharge was 9.5 (± 2.12). The average number of medications adjusted by the geriatric consultant was 2.96 (± 2.12). The most common classes of adjusted medications were pain medications (22%), nutrition (13%), bowel regimens (8.5%), antipsychotics (8%), and osteoporosis (8%). The cost impact of the pharmaceutical intervention ranged between -$343 and $2,607, with an average increase of $102 (± 368). CONCLUSION: Geriatric consultations increased the total number of medications and the cost of medications used by elderly patients. SN - 0888-5109 UR - https://www.unboundmedicine.com/medline/citation/22231997/Impact_of_geriatric_consultation_on_the_number_of_medications_in_hospitalized_older_patients_ L2 - https://www.ingentaconnect.com/openurl?genre=article&issn=0888-5109&volume=27&issue=1&spage=42&aulast=Saad DB - PRIME DP - Unbound Medicine ER -