A Pilot Study of Clinical Pharmacistled Medication Review in Older Adults on Polypharmacy and Receiving Home Health Care Services

Memiş, Semra; Sancar, Mesut; Varlıklı, Onursal; Akçay, Betül; Varol, Halide; Söylemez, Sümeyra Lübeyne; Medişoğlu, Mahmut Sabri; Okuyan, Betül

doi:10.31086/tjgeri.2020.190

Cited by 2 publications

(1 citation statement)

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“…Consistent with the research conducted previously (8), the most common medications related to PIMs, which were coincided with the findings of the present study, were proton pump inhibitors, NSAIDs, and central nervous system medications. In another study conducted with older patients receiving home health care services in Turkey (34), in parallel with the results of our study, the most common presentation of PIMs was proton pump inhibitors and nonsteroidal anti-inflammatory drugs.…”

Section: Discussionsupporting

confidence: 85%

Medication Review in Turkish Older Adults at Community Pharmacy: A Pilot Study by Using Medication Appropriateness Index

DAL

Ucar

Altiparmak

et al. 2022

Clinical and Experimental Health Sciences

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Objective: The study aimed to evaluate medication review in older adults (≥65 years) at a community pharmacy by identifying the prevalence of potentiality inappropriate medication and calculating medication appropriateness index. Methods: This descriptive study was carried out in a community pharmacy for six months. The older adults (≥65 years) using one or more medications were included. During clinical pharmacist-led medication review; the medication appropriateness index was calculated for each medication of older adults. Potentially inappropriate medications were evaluated according to the 2019 American Geriatrics Society Beers Criteria®. Result: Among a hundred older adults, 46.0% were female. The median age of the patients was 75.5 (IQR, 68.0-78.8). The median number of medications was 9.0 (7.0-10.0). Polypharmacy has been detected in 97.0% of the patients. At least one potentially inappropriate medication was detected in 63.0% of them. The median score of medication appropriateness index score was 53.0 (IQR: 38.6-67.9). Conclusion: To best our knowledge, this is the first study of clinical pharmacist-led medication review by calculating the medication appropriateness index carried out at a community pharmacy in Turkey. There was a high rate of potentially inappropriate medication with a higher score of medication appropriateness in older adults. This study highlights the importance of medication review led by the clinical pharmacist at community pharmacy to optimize medication usage in older adults.

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Section: Discussionsupporting

confidence: 85%