TY - JOUR
T1 - Impact of an innovative educational strategy on medication appropriate use and length of stay in elderly patients
AU - Corbi, Graziamaria
AU - Gambassi, Giovanni
AU - Pagano, Gennaro
AU - Russomanno, Giusy
AU - Conti, Valeria
AU - Rengo, Giuseppe
AU - Leosco, Dario
AU - Bernabei, Roberto
AU - Filippelli, Amelia
AU - Ferrara, Nicola
PY - 2015/6/1
Y1 - 2015/6/1
N2 - To evaluate the impact of an educational strategy on potentially inappropriate medications (PIMs) and length of stay in hospitalized elderly patients. Design: An open study, with two cross-sectional surveys interspersed with an educational program (PRE phase and POST phase), has been performed in order to compare the PIMs number before and after the introduction of an educational strategy. The study included 2 phases: PRE, in which patients were enrolled as control group; POST, in which an educational strategy on the PIMs use was introduced among physicians, and patients were enrolled as intervention group. Setting: Italian residential rehabilitation Centre. Inclusion criteria were ≥2 active chronic diseases and the current use of ≥4 medications. The educational strategy consisted of a 3-day course on strategies to prevent PIMs and a computerized tool running on a Personal Digital Assistant (PDA) device to check for PIMs. Outcomes: The primary was the PIMs number, the secondary the length of stay. Results: A total of 790 patients, 450 controls and 340 cases, were enrolled. According to the Beers criteria, 52.3% of the study population received ≥1 PIMs, 18.73% ≥2, and 2.4% ≥4 PIMs. A significant reduction of PIMs (P=0.020) and length of stay (P
AB - To evaluate the impact of an educational strategy on potentially inappropriate medications (PIMs) and length of stay in hospitalized elderly patients. Design: An open study, with two cross-sectional surveys interspersed with an educational program (PRE phase and POST phase), has been performed in order to compare the PIMs number before and after the introduction of an educational strategy. The study included 2 phases: PRE, in which patients were enrolled as control group; POST, in which an educational strategy on the PIMs use was introduced among physicians, and patients were enrolled as intervention group. Setting: Italian residential rehabilitation Centre. Inclusion criteria were ≥2 active chronic diseases and the current use of ≥4 medications. The educational strategy consisted of a 3-day course on strategies to prevent PIMs and a computerized tool running on a Personal Digital Assistant (PDA) device to check for PIMs. Outcomes: The primary was the PIMs number, the secondary the length of stay. Results: A total of 790 patients, 450 controls and 340 cases, were enrolled. According to the Beers criteria, 52.3% of the study population received ≥1 PIMs, 18.73% ≥2, and 2.4% ≥4 PIMs. A significant reduction of PIMs (P=0.020) and length of stay (P
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U2 - 10.1097/MD.0000000000000918
DO - 10.1097/MD.0000000000000918
M3 - Article
C2 - 26091456
AN - SCOPUS:84936773765
VL - 94
JO - Medicine; analytical reviews of general medicine, neurology, psychiatry, dermatology, and pediatries
JF - Medicine; analytical reviews of general medicine, neurology, psychiatry, dermatology, and pediatries
SN - 0025-7974
IS - 24
M1 - 918
ER -