RT Journal Article
SR Electronic
T1 Medication regimen complexity on hospital admission in patients with advanced chronic conditions in need of palliative care
JF European Journal of Hospital Pharmacy
JO Eur J Hosp Pharm
FD British Medical Journal Publishing Group
SP 262
OP 267
DO 10.1136/ejhpharm-2017-001478
VO 26
IS 5
A1 Daniel Sevilla-Sanchez
A1 Núria Molist-Brunet
A1 Javier González-Bueno
A1 Núria Solà-Bonada
A1 Jordi Amblàs-Novellas
A1 Joan Espaulella-Panicot
A1 Carles Codina-Jane
YR 2019
UL http://ejhp.bmj.com/content/26/5/262.abstract
AB Objectives To evaluate characteristics of the medication complexity, risk factors associated with high medication complexity and their clinical consequences in patients with advanced chronic conditions.Methods A 10-month cross-sectional study was performed in an acute-hospital care Geriatric Unit. Patients with advanced chronic conditions were identified by the NECPAL test. Medication complexity was established using the Medication Regimen Complexity Index (MRCI) tool. Demographic, pharmacological and clinical patient data were collected with the objective of determining risk factors related to high medication complexity. Measured clinical outcomes were hospital length of stay, destination on hospital discharge, in-hospital mortality and 2-year survival.Results Two hundred and thirty-five patients (mean age 86.8, SD 5.37; 65.5% female) were recruited. MRCI’s mean score was 38 points (SD 16.54, rank: 2.00–98.50), with 57.9% of patients with high medication complexity (MRCI >35 points).