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Effect of intervention by hospital pharmacists on the number of drugs for at-home patients: A retrospective observational study
https://gifu-pu.repo.nii.ac.jp/records/13735
https://gifu-pu.repo.nii.ac.jp/records/1373562298bda-88d8-4be3-a0db-b27f0b3ca9db
Item type | 研究室原著論文(1) | |||||
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公開日 | 2020-03-04 | |||||
タイトル | ||||||
タイトル | Effect of intervention by hospital pharmacists on the number of drugs for at-home patients: A retrospective observational study | |||||
言語 | en | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Hospital pharmacist | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Polypharmacy | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Prescription suggestion | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Multiple diseases | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | home medical care | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
アクセス権 | ||||||
アクセス権 | metadata only access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_14cb | |||||
抄録 | ||||||
値 | Background Pharmacotherapy is performed in accordance with the guidelines for each disease. The number of drugs to be taken increases when a patient has multiple diseases. Polypharmacy may be a problem owing to increased side effects and interactions. Methods The subjects were at-home patients (patients who received home visits) during the year from April 2016 to March 2017. Age, sex, disease, number of drugs, and reason for drug changes were compared in patients who were hospitalized and patients who were not hospitalized within 1 year of intervention. Results Many at-home patients had multiple disease (75.6%). The number of drugs was reduced after 12 months compared with the time of intervention (P<0.01). Among prescription changes, pharmacists proposed most of the prescription changes (89.0%). In addition, the number of drugs taken by at-home patients who were not hospitalized within 1 year of intervention was reduced (P = 0.037). However, this reduction was not seen at-home patients who were hospitalized within 1 year of intervention. Conclusions If pharmacists can actively intervene and reduce polypharmacy in at-home patients, this may reduce unnecessary hospitalization due to polypharmacy interactions and side effects. It is possible that this intervention may lead to an overall reduction in the number of inpatients. |
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書誌情報 |
en : Jpn. Pharmacol. Ther. 巻 48, p. 25-29, 発行日 2020-01 |
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DOI | ||||||
値 | http://www.pieronline.jp/content/article/0386-3603/48010/25 |