Tags

Type your tag names separated by a space and hit enter

Anticholinergic burden in older inpatients on psychotropic medication: do we care?
Australas Psychiatry. 2017 Dec; 25(6):566-570.AP

Abstract

OBJECTIVES

This quality activity explored the prescribing patterns in an Older Persons Mental Health Inpatient Unit in order to establish whether the Anticholinergic Cognitive Burden Scale (ACB Scale) score on admission was reviewed to minimise anticholinergic cognitive burden (ACB) while maintaining therapeutic effects.

METHODS

A retrospective electronic chart review of 50 discharged patients for any documented ACB review by the treating team, as well as the ACB Scale scores on admission and discharge.

FINDINGS

ACB was rarely considered. On average, the total ACB Scale scores on admission and discharge were high. At the time of discharge, the proportion of patients on at least one anticholinergic medication had significantly increased, and only 10% of patients were on no anticholinergic medication. Approximately 50% of patients had an increased ACB Scale score by discharge as opposed to only 8% who had reduced scores.

CONCLUSIONS

Anticholinergic polypharmacy should be minimised when prescribing to the elderly population to reduce potential anticholinergic burden.

Authors+Show Affiliations

Psychiatry Registrar, West Moreton Mental Health Services, QLD, Australia.Professor, University of Queensland School of Medicine, St Lucia, QLD, Australia.Medical Student, University of Queensland School of Medicine, St Lucia, QLD, Australia.Medical Student, University of Queensland School of Medicine, St Lucia, QLD, Australia.Junior House Officer, West Moreton Mental Health Services, Ipswich, QLD, Australia.Project Supervisor Supervisor, Consultant Psychogeriatrician, West Moreton Mental Health Services, Ipswich, QLD, Australia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28868891

Citation

Lee, Mei Shiang, et al. "Anticholinergic Burden in Older Inpatients On Psychotropic Medication: Do We Care?" Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists, vol. 25, no. 6, 2017, pp. 566-570.
Lee MS, Kisely S, Zolotarev B, et al. Anticholinergic burden in older inpatients on psychotropic medication: do we care? Australas Psychiatry. 2017;25(6):566-570.
Lee, M. S., Kisely, S., Zolotarev, B., Warren, A., Henderson, J., & George, M. (2017). Anticholinergic burden in older inpatients on psychotropic medication: do we care? Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists, 25(6), 566-570. https://doi.org/10.1177/1039856217726687
Lee MS, et al. Anticholinergic Burden in Older Inpatients On Psychotropic Medication: Do We Care. Australas Psychiatry. 2017;25(6):566-570. PubMed PMID: 28868891.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anticholinergic burden in older inpatients on psychotropic medication: do we care? AU - Lee,Mei Shiang, AU - Kisely,Steve, AU - Zolotarev,Boris, AU - Warren,Andrew, AU - Henderson,Jack, AU - George,Manoj, Y1 - 2017/09/04/ PY - 2017/9/5/pubmed PY - 2019/4/2/medline PY - 2017/9/5/entrez KW - ACB KW - anticholinergic burden KW - old-age psychiatry SP - 566 EP - 570 JF - Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists JO - Australas Psychiatry VL - 25 IS - 6 N2 - OBJECTIVES: This quality activity explored the prescribing patterns in an Older Persons Mental Health Inpatient Unit in order to establish whether the Anticholinergic Cognitive Burden Scale (ACB Scale) score on admission was reviewed to minimise anticholinergic cognitive burden (ACB) while maintaining therapeutic effects. METHODS: A retrospective electronic chart review of 50 discharged patients for any documented ACB review by the treating team, as well as the ACB Scale scores on admission and discharge. FINDINGS: ACB was rarely considered. On average, the total ACB Scale scores on admission and discharge were high. At the time of discharge, the proportion of patients on at least one anticholinergic medication had significantly increased, and only 10% of patients were on no anticholinergic medication. Approximately 50% of patients had an increased ACB Scale score by discharge as opposed to only 8% who had reduced scores. CONCLUSIONS: Anticholinergic polypharmacy should be minimised when prescribing to the elderly population to reduce potential anticholinergic burden. SN - 1440-1665 UR - https://www.unboundmedicine.com/medline/citation/28868891/Anticholinergic_burden_in_older_inpatients_on_psychotropic_medication:_do_we_care L2 - https://journals.sagepub.com/doi/10.1177/1039856217726687?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -