Potentially inappropriate medication use among elderly home care patients in Europe
Tverrsnittstudie hvor hensikten var å undersøke forekomsten av, og faktorer relatert til, uhensiktsmessig legemiddelbruk hos pasienter i hjemmesykepleien i europeiske land. Criteria for potentially inappropriate medication use among elderly patients have been used in the past decade in large US epid...
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2005
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Online Access: | http://hdl.handle.net/11250/2445225 https://doi.org/10.1001/jama.293.11.1348 |
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ftsfomsorgsforsk:oai:omsorgsforskning.brage.unit.no:11250/2445225 2024-03-03T08:45:48+00:00 Potentially inappropriate medication use among elderly home care patients in Europe Fialová, Daniela Topinková, Eva Gambassi, Giovanni Finne-Soveri, Harriet Jónsson, Pálmi V. Carpenter, Iain Schroll, Marianne Onder, Graziano Sørbye, Liv Wergeland Wagner, Cordula Reissigová, Jindra Bernabei, Roberto 2005 application/pdf http://hdl.handle.net/11250/2445225 https://doi.org/10.1001/jama.293.11.1348 eng eng Fialová, D., Topinková, E., Gambassi, G., Finne-Soveri, H., Jónsson, P.V., Carpenter, I., Schroll, M., Onder, G., Sørbye, L.W., Wagner, C., Reissigová, J. & Bernabei, R. (AdHOC Project Research Group)(2005) Potentially inappropriate medication use among elderly home care patients in Europe. JAMA: the Journal of the American Medical Association, 293(11), s. 1348 -58. urn:issn:1538-3598 http://hdl.handle.net/11250/2445225 https://doi.org/10.1001/jama.293.11.1348 Fialová, Daniela 293 JAMA 11 pasientsikkerhet legemiddel legemiddelbruk legemiddelbehandling legemiddelrelaterte problemer legemiddelgjennomgang legemiddelinteraksjoner kriterier hjemmeboende eldre forekomst sammenlignende studie retrospektiv regresjonsmodell tverrsnittstudie tverrsnitt Tsjekkia Nederland Danmark Norge Finland Island Italia England Europa Journal article Peer reviewed 2005 ftsfomsorgsforsk https://doi.org/10.1001/jama.293.11.1348 2024-02-02T11:37:27Z Tverrsnittstudie hvor hensikten var å undersøke forekomsten av, og faktorer relatert til, uhensiktsmessig legemiddelbruk hos pasienter i hjemmesykepleien i europeiske land. Criteria for potentially inappropriate medication use among elderly patients have been used in the past decade in large US epidemiological surveys to identify populations at risk and specifically target risk-management strategies. In contrast, in Europe little information is available about potentially inappropriate medication use and is based on small studies with uncertain generalizability. To estimate the prevalence and associated factors of potentially inappropriate medication use among elderly home care patients in European countries. Retrospective cross-sectional study of 2707 elderly patients receiving home care (mean [SD] age, 82.2 [ 7.2] years) representatively enrolled in metropolitan areas of the Czech Republic, Denmark, Finland, Iceland, Italy, the Netherlands, Norway, and the United Kingdom. Patients were prospectively assessed between September 2001 and January 2002 using the Minimum Data Set in Home Care instrument. Prevalence of potentially inappropriate medication use was documented using all expert panels criteria for community-living elderly persons (Beers and McLeod). Patient-related characteristics independently associated with inappropriate medication use were identified with a multiple logistic regression model. Combining all 3 sets of criteria, we found that 19.8% of patients in the total sample used at least 1 inappropriate medication; using older 1997 criteria it was 9.8% to 10.9%. Substantial differences were documented between Eastern Europe (41.1% in the Czech Republic) and Western Europe (mean 15.8%, ranging from 5.8% in Denmark to 26.5% in Italy). Potentially inappropriate medication use was associated with patient's poor economic situation (adjusted relative risk [RR], 1.96; 95% confidence interval [CI], 1.58-2.36), polypharmacy (RR, 1.91; 95% CI, 1.62- 2.22), anxiolytic drug use (RR, 1.82; 95% CI, ... Article in Journal/Newspaper Iceland Senter for omsorgsforskning: Omsorgsbiblioteket McLeod ENVELOPE(-127.689,-127.689,55.254,55.254) Norway JAMA 293 11 1348 |
institution |
Open Polar |
collection |
Senter for omsorgsforskning: Omsorgsbiblioteket |
op_collection_id |
ftsfomsorgsforsk |
language |
English |
topic |
pasientsikkerhet legemiddel legemiddelbruk legemiddelbehandling legemiddelrelaterte problemer legemiddelgjennomgang legemiddelinteraksjoner kriterier hjemmeboende eldre forekomst sammenlignende studie retrospektiv regresjonsmodell tverrsnittstudie tverrsnitt Tsjekkia Nederland Danmark Norge Finland Island Italia England Europa |
spellingShingle |
pasientsikkerhet legemiddel legemiddelbruk legemiddelbehandling legemiddelrelaterte problemer legemiddelgjennomgang legemiddelinteraksjoner kriterier hjemmeboende eldre forekomst sammenlignende studie retrospektiv regresjonsmodell tverrsnittstudie tverrsnitt Tsjekkia Nederland Danmark Norge Finland Island Italia England Europa Fialová, Daniela Topinková, Eva Gambassi, Giovanni Finne-Soveri, Harriet Jónsson, Pálmi V. Carpenter, Iain Schroll, Marianne Onder, Graziano Sørbye, Liv Wergeland Wagner, Cordula Reissigová, Jindra Bernabei, Roberto Potentially inappropriate medication use among elderly home care patients in Europe |
topic_facet |
pasientsikkerhet legemiddel legemiddelbruk legemiddelbehandling legemiddelrelaterte problemer legemiddelgjennomgang legemiddelinteraksjoner kriterier hjemmeboende eldre forekomst sammenlignende studie retrospektiv regresjonsmodell tverrsnittstudie tverrsnitt Tsjekkia Nederland Danmark Norge Finland Island Italia England Europa |
description |
Tverrsnittstudie hvor hensikten var å undersøke forekomsten av, og faktorer relatert til, uhensiktsmessig legemiddelbruk hos pasienter i hjemmesykepleien i europeiske land. Criteria for potentially inappropriate medication use among elderly patients have been used in the past decade in large US epidemiological surveys to identify populations at risk and specifically target risk-management strategies. In contrast, in Europe little information is available about potentially inappropriate medication use and is based on small studies with uncertain generalizability. To estimate the prevalence and associated factors of potentially inappropriate medication use among elderly home care patients in European countries. Retrospective cross-sectional study of 2707 elderly patients receiving home care (mean [SD] age, 82.2 [ 7.2] years) representatively enrolled in metropolitan areas of the Czech Republic, Denmark, Finland, Iceland, Italy, the Netherlands, Norway, and the United Kingdom. Patients were prospectively assessed between September 2001 and January 2002 using the Minimum Data Set in Home Care instrument. Prevalence of potentially inappropriate medication use was documented using all expert panels criteria for community-living elderly persons (Beers and McLeod). Patient-related characteristics independently associated with inappropriate medication use were identified with a multiple logistic regression model. Combining all 3 sets of criteria, we found that 19.8% of patients in the total sample used at least 1 inappropriate medication; using older 1997 criteria it was 9.8% to 10.9%. Substantial differences were documented between Eastern Europe (41.1% in the Czech Republic) and Western Europe (mean 15.8%, ranging from 5.8% in Denmark to 26.5% in Italy). Potentially inappropriate medication use was associated with patient's poor economic situation (adjusted relative risk [RR], 1.96; 95% confidence interval [CI], 1.58-2.36), polypharmacy (RR, 1.91; 95% CI, 1.62- 2.22), anxiolytic drug use (RR, 1.82; 95% CI, ... |
format |
Article in Journal/Newspaper |
author |
Fialová, Daniela Topinková, Eva Gambassi, Giovanni Finne-Soveri, Harriet Jónsson, Pálmi V. Carpenter, Iain Schroll, Marianne Onder, Graziano Sørbye, Liv Wergeland Wagner, Cordula Reissigová, Jindra Bernabei, Roberto |
author_facet |
Fialová, Daniela Topinková, Eva Gambassi, Giovanni Finne-Soveri, Harriet Jónsson, Pálmi V. Carpenter, Iain Schroll, Marianne Onder, Graziano Sørbye, Liv Wergeland Wagner, Cordula Reissigová, Jindra Bernabei, Roberto |
author_sort |
Fialová, Daniela |
title |
Potentially inappropriate medication use among elderly home care patients in Europe |
title_short |
Potentially inappropriate medication use among elderly home care patients in Europe |
title_full |
Potentially inappropriate medication use among elderly home care patients in Europe |
title_fullStr |
Potentially inappropriate medication use among elderly home care patients in Europe |
title_full_unstemmed |
Potentially inappropriate medication use among elderly home care patients in Europe |
title_sort |
potentially inappropriate medication use among elderly home care patients in europe |
publishDate |
2005 |
url |
http://hdl.handle.net/11250/2445225 https://doi.org/10.1001/jama.293.11.1348 |
long_lat |
ENVELOPE(-127.689,-127.689,55.254,55.254) |
geographic |
McLeod Norway |
geographic_facet |
McLeod Norway |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
293 JAMA 11 |
op_relation |
Fialová, D., Topinková, E., Gambassi, G., Finne-Soveri, H., Jónsson, P.V., Carpenter, I., Schroll, M., Onder, G., Sørbye, L.W., Wagner, C., Reissigová, J. & Bernabei, R. (AdHOC Project Research Group)(2005) Potentially inappropriate medication use among elderly home care patients in Europe. JAMA: the Journal of the American Medical Association, 293(11), s. 1348 -58. urn:issn:1538-3598 http://hdl.handle.net/11250/2445225 https://doi.org/10.1001/jama.293.11.1348 |
op_rights |
Fialová, Daniela |
op_doi |
https://doi.org/10.1001/jama.293.11.1348 |
container_title |
JAMA |
container_volume |
293 |
container_issue |
11 |
container_start_page |
1348 |
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1792501457774182400 |