Targeted Medication Deprescribing in the Elderly: Results of a Pharmacist-Driven Procedure in a Transitional Care Unit

摘要: OBJECTIVE: Assess the impact of a pharmacist-driven deprescribing procedure on reduction target medications at discharge among geriatric patients receiving care in hospital-based transitional unit. DESIGN: Retrospective, single-center chart review. SETTING: Transitional unit located within hospital. PARTICIPANTS: Patients 65 years age and older were included if they admitted to between June 1, 2017, December 15, one or more following medication classes: antihistamines, benzodiazepines, hypnotic sleep aids, proton-pump inhibitors, skeletal muscle relaxants. INTERVENTIONS: Pharmacists performed structured review patient's upon admission utilized developed by our institution identify deprescribe an attempt optimize regimen prior discharge. RESULTS: Overall, 129 198 study. average 1.5 ± 0.78 admission, which was reduced 0.73 (P CONCLUSION: A significantly quantity that discharged on.