지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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The purpose of the Geriatric Center (GC) in Seoul National University BundangHospital (SNUBH) is to provide comprehensive care to geriatric patients using comprehensivegeriatric assessment (CGA) tool. Pharmacists in the center perform medication intervention usingthe Potentially Inappropriate Medications (PIMs) list consolidated by SNUBH based on the Beerscriteria of 2003. In 2012, the list was revised based on the Screening Tool of Older Person’sPrescriptions (STOPP) criteria of 2008 and the Beers criteria of 2012. In this study, we assessedthe medication for the inpatients in the center based on the revised SNUBH inappropriate medicationcriteria of 2012 to evaluate economic outcomes of pharmacists’interventions in terms of the prospect of cost avoidance.
Eighty nine patients, admitted the SNUBH GC during the period of March 1st to August 31st in2012, were involved in this study. The median age of the patients was 82.2 years old: Amongthem, 46.1% of the patient had more than four diseases, 70.1% of the patient had adequate drugcompliance, and 19.1% of the patient experienced drug adverse events. There were differences inthe prescription prior to hospitalization in comparison to that at their discharge. In this comparison,we found that the median number of medication was decreased from 9.4 to 6.3: Probably asthe result of the reduction in the number, the percentage of patients who received the medicationslisted under PIMs and duplicated drugs was also significantly decreased from 58.4% to31.4% and from 21.3% to 1.1%, respectively. In total, 336 clinical interventions were performed bythe pharmacists: The most frequent types of the intervention were related to the identification ofpotential drug adverse events and drug-drug interaction, suggesting that the prescription ingeriatric patients can be significantly improved in many respects by pharmacists’medicationassessment and intervention. More importantly, the cost avoidance as the result of the interventionwas found to ＼52,216,666.2. Since Korea represents the one of the most rapidly aging societiesin the world, the intervention of pharmacists can serve as the practical means for medicalcost-saving in Korea.
목차
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참고문헌 (15)
참고문헌 신청
McLean A. J. / 2004 / Aging biology and geriatric clinical pharmacology / Pharmacological Reviews 56(2):163~184
Chirn-Bin Chang / 2010 / Comparison of published explicit criteria for potentially inappropriate medications in older adults / Drugs Aging 27(12):947~957
Fick D.M. / 2003 / Updating the beers criteria for potentially inappropriate medication use in older adults: Results of a us consensus panel of experts / Arch Intern Med 163:2716~2724
Zhan C / 2001 / Potentially inappropriate medication use in the community-dwelling elderly: Finding from the 1996 Medical Expenditure Panel Survey / JAMA 286(22):2823~2329
서예원 / 2006 / 고령 환자의 안전한 약물 요법을 위한 관리지표 개발 / 병원약사회지 23(2):1~12
Chirn-Bin Chang / 2010 / Comparison of published explicit criteria for potentially inappropriate medications in older adults / Drugs Aging 27(12):947~957
Fick D.M. / 2003 / Updating the beers criteria for potentially inappropriate medication use in older adults: Results of a us consensus panel of experts / Arch Intern Med 163:2716~2724
Zhan C / 2001 / Potentially inappropriate medication use in the community-dwelling elderly: Finding from the 1996 Medical Expenditure Panel Survey / JAMA 286(22):2823~2329
서예원 / 2006 / 고령 환자의 안전한 약물 요법을 위한 관리지표 개발 / 병원약사회지 23(2):1~12
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