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Interventies na een gestructureerde medicatie-analyse door klinisch geriater en ziekenhuisapotheker bij klinisch opgenomen kwetsbare oudere patiënten

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Tijdschrift voor Gerontologie en Geriatrie

Samenvatting

Door middel van een gestructureerde medicatie-analyse door klinisch geriater en ziekenhuisapotheker-klinisch farmacoloog zijn (potentiële) geneesmiddelgerelateerde problemen in kaart gebracht. Patiënten die werden opgenomen op de afdeling geriatrie en waar de klinisch geriater en/of de ziekenhuisapotheker problemen zagen of voorzagen werden beoordeeld volgens een vast model. De voorgestelde interventies werden plenair besproken en de uitgevoerde (of overgenomen) interventies werden vervolgd.

In een periode van 30 maanden werden de medicatiegegevens van 184 patiënten aan een medicatie-analyse onderworpen. Van de voorgestelde interventies door de ziekenhuisapotheker werd 65% overgenomen door de klinisch geriater. Het stoppen van medicatie, doseerwijzigingen of vervangen van een bestaand middel werden het meest uitgevoerd. Interventievoorstellen die niet werden overgenomen betroffen vooral onwil van de patiënt of diens begeleider of logistieke problemen.

Effects of a structured medication review by geriatrician and clinical pharmacologist on appropriateness of pharmacotherapy of frail elderly inpatients

Objective To study the results of a structured medication review of geriatric inpatients by both geriatrician and hospital pharmacist/clinical pharmacologist. Methods Patients who were present at the geriatric ward were eligible for a review of their medication and medical problems using a screening form. Recommendations and questions following these forms were subsequently discussed in the gerontopharmacologic meeting (‘GFO’) held every two weeks. Results In a 30 month-period 44 GFO’s were held during which 184 patients were discussed. A total of 206 recommendations were made and 115 questions were asked. Of the recommended interventions,134 (65%) were accepted by the geriatrician. To stop a medication (64/206), to change the dosage of a medication (60/206) and to switch to another medication (44/206) were the types of interventions most accounted for. Conclusion Structured medication review led to a substantial number of medication changes in geriatric inpatients. Nearly two-thirds of the recommended interventions were accepted by the geriatricians. Seventy-two recommendations (35%) were not implemented due to logistic or patient-related reasons.

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Authors and Affiliations

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    K. N. van Dijk

Authors
  1. K. N. van Dijk
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  2. D. Z. B. van Asselt
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  3. D. Vogel
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  4. C. S. van der Hooft
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  5. E. N. van Roon
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  6. J. R. B. J. Brouwers
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Additional information

Ziekenhuisapotheker, Medisch Centrum Leeuwarden, afdeling Klinische Farmacologie

Klinisch geriater, Medisch Centrum Leeuwarden, Centrum Geriatrie

Ziekenhuisapotheker io, Medisch Centrum Leeuwarden, afdeling Klinische Farmacologie

Klinisch geriater io, Medisch Centrum Leeuwarden, Centrum Geriatrie

Klinisch farmacoloog, Medisch Centrum Leeuwarden, afdeling Klinische Farmacologie

Klinisch-farmacoloog/ hoogleraar farmacotherapie, Medisch Centrum Leeuwarden, afdeling Klinische Farmacologie/Ziekenhuis de Tjongerschans afdeling: KlinischeFarmacie

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van Dijk, K.N., van Asselt, D.Z.B., Vogel, D. et al. Interventies na een gestructureerde medicatie-analyse door klinisch geriater en ziekenhuisapotheker bij klinisch opgenomen kwetsbare oudere patiënten. GEEG 40, 35–41 (2009). https://doi.org/10.1007/BF03079563

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  • DOI: https://doi.org/10.1007/BF03079563

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