A Study of Medication Compliance in  Geriatric Patients with Chronic Illnesses  at a Tertiary Care Hospital

Shruthi, R.; Jyothi, R; Pundarikaksha, H P; Nagesh, G. N.; Tushar, T J

doi:10.7860/jcdr/2016/21908.9088

Cited by 57 publications

(64 citation statements)

References 18 publications

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“…Tsai et al (2012) stated that in general only 50% of the general population has been estimated to adhere to their medications and this may range from 47 to 100% in older people. In addition, medication concordance has been positively correlated with educational status and individual's awareness of diseases and prescribed medications (Shruthi et al, 2016).…”

Section: Psychotropic Medication Usementioning

confidence: 99%

Mental Health, Quality of Life and Medication Use Among Care Home Residents and Community Dwelling Older People

O’Neill¹,

Ryan²,

Slater³

et al. 2019

International Journal of Research in Nursing

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In most countries, the prevalence of depression in care homes is substantially higher than among community-dwelling older people. Negative media reports and the stigma associated with long-term care perpetuates the belief that community care is associated with a better quality of life than nursing or residential home care. The aim of this paper is to investigate mental health, quality of life and medication use among a sample of care home residents and community dwelling older people. This cross-sectional study comprised of structured interviews with 75 care home residents and 852 community dwelling older adults in a large health and social care trust within the U.K. Data were collected using an abridged version of the World Mental Health-Composite International Diagnostic Interview (WMH-CIDI). Health-related quality of life was assessed using the SF-6D, derived from responses to the SF-12, which was embedded within the screening section of the WMH-CIDI. Results showed a significantly lower level of mental disorders among older people in the care home sample. Health-related quality of life results indicated that although care home participants were significantly more limited in their physical functioning, they reported better mental health and social functioning than older people living in the community. These results were statistically significant. Prescription rates for mental health medication were higher in the care home sample. This study provides tentative findings about mental health and quality of life in care homes, which should be further explored in future research. The study addresses the negative public perception of quality of life in care homes while contributing to the debate around the health care implications of 'ageing in place' for older people. There is a need to address the relationship between mental health, quality of life and medication use among older people across a range of care settings.

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Section: Psychotropic Medication Usementioning

confidence: 99%

Mental Health, Quality of Life and Medication Use Among Care Home Residents and Community Dwelling Older People

O’Neill¹,

Ryan²,

Slater³

et al. 2019

International Journal of Research in Nursing

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“…6 Non-adherence may also be a product of age-related functional decline. 7 Middle-aged participants (50- 69 years) have been reported to be more adherent to their medication than both younger (<50 years) and older cohorts (≥70 years). 8,9 In general, research to date on medication non-adherence has been disease-specific, assessing the impact of suboptimal adherence on surrogate health outcomes such as blood pressure, cholesterol levels and biological response.…”

Section: Introductionmentioning

confidence: 96%

“…Drug‐related factors, such as dosing regimen, side effects and polypharmacy, and patient‐related factors, such as cognitive function, health literacy and multimorbidity, are barriers to medication adherence in this group . Non‐adherence may also be a product of age‐related functional decline . Middle‐aged participants (50–69 years) have been reported to be more adherent to their medication than both younger (<50 years) and older cohorts (≥70 years) …”

Section: Introductionmentioning

confidence: 99%

The association between medication non‐adherence and adverse health outcomes in ageing populations: A systematic review and meta‐analysis

Walsh

Cahir

Tecklenborg

et al. 2019

Brit J Clinical Pharma

139

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Aims The aim of this systematic review and meta‐analysis was to synthesise the evidence relating to medication non‐adherence and its association with health outcomes in people aged ≥50 years. Methods Seven databases were searched up to February 2019 for observational studies that measured medication (non‐)adherence as a predictor of the following health outcomes in adults aged ≥50 years: healthcare utilisation (hospitalisation, emergency department visits, outpatient visits and general practitioner visits), mortality, adverse clinical events and quality of life. Screening and quality assessment using validated criteria were completed by 2 reviewers independently. Random effects models were used to generate pooled estimates of association using adjusted study results. The full methodological approach was published on PROSPERO (ID: CRD42017077264). Results Sixty‐six studies were identified for qualitative synthesis, with 11 of these studies eligible for meta‐analyses. A meta‐analysis including 3 studies measuring medication non‐adherence in adults aged ≥55 years showed a significant association with all‐cause hospitalisation (adjusted odds ratio 1.17, 95% confidence interval [CI] 1.12, 1.21). A meta‐analysis including 2 studies showed that medication non‐adherence was not significantly associated with an emergency department visit (adjusted odds ratio 1.05, 95% CI 0.90, 1.22). Good adherence was associated with a 21% reduction in long‐term mortality risk in comparison to medication non‐adherence (adjusted hazard ratio 0.79, 95% CI 0.63, 0.98). Conclusion Medication non‐adherence may be significantly associated with all‐cause hospitalisation and mortality in older people. Medication adherence should be monitored and addressed in this cohort to minimise hospitalisation, improve clinical outcomes and reduce healthcare costs.

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“…Besides bringing several physiological changes, aging increases the rate of morbidity and mortality due to an increased incidence of chronic and malignant diseases. Furthermore, geriatric patients have a high incidence of chronic diseases developing because of diabetes and hypertension (1)(2)(3). Moreover, elderly individuals have a higher rate of acute kidney injury compared with young people (4) and are, therefore, at an increased risk of renal failure.…”

Section: Introductionmentioning

confidence: 99%

Diagnosis and Mortality Outcomes of Three Different Geriatric Age Groups in the Intensive Care Unit: 10-Year Retrospective Analysis

Görgülü¹,

Koşar²

2020

tjgeri

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In addition to bringing many physiological changes with it, aging is a period in which morbidity and mortality rates increase due to the increase in the incidence of chronic diseases and malignant diseases. The aim of this study was to determine the prevalence of conditions requiring intensive care and the mortality incidence based on geriatric age groups followed-up in the intensive care unit. Materials and Method: Three different geriatric age groups were formed out of the 65 years old and older patients (n=5932) included in the study as young old (65-74 years), middle old (75-84 years) and oldest old (85 years and older). In each group, disease prevalence and mortality rate by diagnostic groups were analysed. Results: The resulting diagnostic groups were found to be at different rates in different age groups (p = 0.01 p <0.05). Malignancy was high in young elderly patients (p = 0.01 p <0.05), while cardiovascular diseases were higher in other groups (p = 0.01 p<0.05). Patients admitted to the intensive care unit with cardiac arrest had the highest mortality rate (p = 0.01 p<0.05). Conclusion: Geriatric patients constitute an important part of intensive care patients, therefore the mortality rate is high. In all three groups, 30-day mortality results were highest in patients with cardiac arrest followed by sepsis and cardiovascular diseases, respectively.

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A Study of Medication Compliance in Geriatric Patients with Chronic Illnesses at a Tertiary Care Hospital

Cited by 57 publications

References 18 publications

Mental Health, Quality of Life and Medication Use Among Care Home Residents and Community Dwelling Older People

Mental Health, Quality of Life and Medication Use Among Care Home Residents and Community Dwelling Older People

The association between medication non‐adherence and adverse health outcomes in ageing populations: A systematic review and meta‐analysis

Diagnosis and Mortality Outcomes of Three Different Geriatric Age Groups in the Intensive Care Unit: 10-Year Retrospective Analysis

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