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dc.contributor.authorBakken, Marit Stordalen_US
dc.contributor.authorRanhoff, Anette Hylenen_US
dc.contributor.authorEngeland, Andersen_US
dc.contributor.authorRuths, Sabineen_US
dc.description.abstractObjective: To identify inappropriate prescribing among older patients on admission to and discharge from an intermediatecare nursing home unit and hospital wards, and to compare changes during stay within and between these groups. Design: Observational study. Setting and subjects: Altogether 400 community-dwelling people aged ≥ 70 years, on consecutive emergency admittance to hospital wards of internal medicine and orthopaedic surgery, were randomized to an intermediatecare nursing home unit or hospital wards; 290 (157 at the intermediate-care nursing home unit and 133 in hospital wards) were eligible for this sub-study. Main outcome measures: Prevalence on admission and discharge of potentially inappropriate medications (Norwegian general practice [NORGEP] criteria) and drug – drug interactions; changes during stay. Results: The mean (SD) age was 84.7 (6.2) years; 71% were women. From admission to discharge, the mean numbers of drugs prescribed per person increased from 6.0 (3.3) to 9.3 (3.8), p < 0.01. The prevalence of potentially inappropriate medications increased from 24% to 35%, p < 0.01; concomitant use of ≥ 3 psychotropic/opioid drugs and drug combinations including non-steroid anti-infl ammatory drugs (NSAIDs) increased signifi cantly. Serious drug – drug interactions were scarce both on admission and discharge (0.7%). Conclusions: Inappropriate prescribing was prevalent among older people acutely admitted to hospital, and the prevalence was not reduced during stay at an intermediate-care nursing home unit specially designed for these patients.en_US
dc.publisherInforma Healthcareeng
dc.relation.ispartof<a href="" target="blank">Potentially inappropriate drug use and hip fractures among older people. Pharmacoepidemiological studies</a>
dc.rightsAttribution CC BYeng
dc.subjectAcute illnesseng
dc.subjectDrug–drug interactionseng
dc.subjectGeneral practiceeng
dc.titleInappropriate prescribing for older people admitted to an intermediate-care nursing home unit and hospital wardsen_US
dc.typePeer reviewed
dc.typeJournal article
dc.rights.holderCopyright 2012 Informa Healthcare
dc.source.journalScandinavian Journal of Primary Health Care

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