Investigation of Factors of Reducing Drugs during Hospitalization in Acute Hospital

DOI Web Site
  • Endo Shingo
    Department of Pharmacy, Sakai City Medical Center Division of Medical Pharmaceutics & Therapeutics, Faculty of Pharmacy, Kindai University
  • Ishizaka Toshihiko
    Department of Pharmacy, Sakai City Medical Center
  • Yamamoto Yoshiki
    Department of Pharmacy, Sakai City Medical Center
  • Yasui Yukako
    Department of Pharmacy, Sakai City Medical Center
  • Ishiwata Shunji
    Division of Medical Pharmaceutics & Therapeutics, Faculty of Pharmacy, Kindai University
  • Inoue Tomomi
    Division of Medical Pharmaceutics & Therapeutics, Faculty of Pharmacy, Kindai University
  • Kotake Takeshi
    Division of Medical Pharmaceutics & Therapeutics, Faculty of Pharmacy, Kindai University

Bibliographic Information

Other Title
  • 急性期病院入院後に減薬となる患者の要因の調査
  • キュウセイキ ビョウイン ニュウイン ゴ ニ ゲンヤク ト ナル カンジャ ノ ヨウイン ノ チョウサ

Search this article

Abstract

<p>Polypharmacy listed in the prescription review process in the Guidelines for “the Proper Use of Drugs by the Elderly”, issued by the Ministry of Health, Labor and Welfare, has factors such as number of drugs, poor adherence and a large number of prescription medical institutions and so on. Since hospitalization is often short in acute care hospitals, it is necessary to evaluate the patient’s background and these factors in a short period to optimize prescriptions, so we analyzed the association with factors such as polypharmacy factors of the prescription optimization requiring reduction of the drug to extract the factors of concern. According to the comparative analysis results of the reduced-dose group of 76 patients and the non-reduced-drug group of 136 patients, there was no significant difference in “late elderly” and “oral administration of five or more drugs” and so on, but there were significant differences in “duplicate drugs” (p=0.012), “complicated regimens” (p=0.016), and “poor adherence” (p=0.005). This study suggested that intervening in the prescribing of patients with factors that are highly relevant to the need for drug reduction contributes to improving the work efficiency of pharmacists in acute care hospitals.</p>

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top