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Study on Prescription Optimization for Hospitalized Elderly Patients in General Wards Using a Template for Evaluating Medicines Brought to the Hospital
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JPY
Abstract
Background Elderly patients with multiple diseases take numerous medicines. Suspending the administration of unnecessary medicines and potentially inappropriate medications to elderly patients will lead to prescription optimization. A template used at Tokyo University Hospital for evaluating medicines that patients bring to the hospital(the template)is a screening tool for patients who require prescription optimization. Methods We used the template to screen patients over 65 years of age who were admitted to the general wards of six hospitals in Fukuoka Prefecture. Results The patients who responded to the screening item took more medicine before hospitalization. In addition, the rate of discontinuance of medication at discharge was higher in the corresponding patient group than in the non-corresponding patient group. In most cases, the condition of the patients improved or remained the same, despite the discontinuance of medicine. Conclusions The template was a useful screening tool for prescription optimization in general hospitals.
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