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Type: Journal article
Title: Medication-related hospital admissions in aged care residents
Author: Kalisch Ellett, L.M.
Kassie, G.M.
Caughey, G.E.
Pratt, N.L.
Ramsay, E.N.
Roughead, E.E.
Citation: Australasian Journal on Ageing, 2021; 40(4):e323-e331
Publisher: Wiley
Issue Date: 2021
ISSN: 1440-6381
Statement of
Lisa M. Kalisch Ellett, Gizat M. Kassie, Gillian E. Caughey, Nicole L. Pratt, Emmae N. Ramsay, Elizabeth E. Roughead
Abstract: Objective To determine the prevalence of medication-related hospitalisations preceded by potentially suboptimal processes of care in aged care residents. Method We conducted a retrospective analysis of administrative claims data from the Australian Government Department of Veterans’ Affairs (DVA). We identified all hospital admissions for aged care residents between 1 July 2014 and 30 June 2019. The proportion of hospital admissions preceded by potentially suboptimal medication-related processes of care was determined. Results A total of 18 874 hospitalisations were included, and 46% were preceded by potentially suboptimal medication-related care. One-quarter of fracture admissions occurred in residents at risk of fracture who were not using a medicine to prevent fracture, and 87% occurred in residents using falls-risk medicines. Thirty per cent of heart failure admissions occurred in patients who were not using an angiotensin-converting enzyme inhibitor or angiotensin receptor blocker. Conclusion Nearly half of hospital admissions were preceded by potentially suboptimal medication-related processes of care. Interventions to improve use of medicines for aged care residents in these areas are warranted.
Keywords: adverse event
aged care
drug-induced disease
health care
hospital admission
quality indicators
Description: First published: 27 June 2021
Rights: © 2021 AJA Inc.
DOI: 10.1111/ajag.12975
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Pharmacology publications

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