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Medication lists for elderly patients

Clinic-derived versus in-home inspection and interview

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Abstract

OBJECTIVE: To determine how often the lists of regular medications derived in geriatric clinics by examination of “medication bags” and interview matched those found during in-home inspections and interviews.

DESIGN: Prospective cross-sectional study.

SETTING: Geriatric clinics at three university-affiliated hospitals.

PARTICIPANTS: Consecutive community-dwelling outpatients 65 years or older who were newly referred.

METHODS: The in-home medication inspection used a semistructured interview followed by a room-to-room search. The medications indentified in the home were compared with the medication list derived in clinic by examination of the “medication bag” and interview.

MAIN RESULTS: Fifty patients with a mean age of 78.9 years participated. The mean number of regular medications (prescription and nonprescription) was 6.3, and the mean number of regular prescription medications was 3.6. A comparison of clinic versus in-home medication lists revealed that 48% (95% confidence interval [95% CI], 34% to 62%) of patients had at least 1 omission of any regular medication and 19% (95%, CI 10% to 32%) of patients had at least 1 omission of a regular prescription medication.

CONCLUSION: The clinic-derived medication list resulted in a complete listing of all regular medications in only 52% taking regular medications. More specific instructions to patients to bring all prescription and nonprescription medications and all vitamins, herbal, and natural remedies, and more directed questions by physicians may result in more complete clinic medication lists.

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References

  1. Mannesse CK, Derkx FH, de Ridder MA, et al. Contribution of adverse drug reactions to hospital admission of older patients. Age Ageing. 2000;29:35–9.

    Article  PubMed  CAS  Google Scholar 

  2. Jackson JE, Ramsdell JW, Renvall M, Swart J, Ward H. Reliability of drug histories in a specialized geriatric outpatient clinic. J Gen Intern Med. 1989;4:39–43.

    Article  PubMed  CAS  Google Scholar 

  3. Price D, Cooke J, Singleton S, Feely M. Doctors’ unawareness of the drugs their patients are taking: a major cause of overprescribing? BMJ (Clin Res Ed). 1986;292:99–100.

    CAS  Google Scholar 

  4. Petty BG. Identifying and reducing complications of outpatient medications. J Gen Intern Med. 2000;15:207–8.

    Article  PubMed  CAS  Google Scholar 

  5. McMurdo ME. Adverse drug reactions. Age Ageing. 2000;29:5–6.

    Article  PubMed  CAS  Google Scholar 

  6. Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189–98.

    Article  PubMed  CAS  Google Scholar 

  7. Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9:179–86.

    PubMed  CAS  Google Scholar 

  8. Katz S, Ford AB, Moskowitz RW, et al. The index of ADL: a standardized measure of biological and psychosocial function. JAMA. 1963;185:914–9.

    PubMed  CAS  Google Scholar 

  9. Agresti A, Coull BA. Approximate is better than “exact” for interval estimation of binomial proportions. Am Stat. 1998;52:119–26.

    Article  Google Scholar 

  10. Agresti A. Categorical Data Analysis. Toronto: John Wiley and Sons; 1990.

    Google Scholar 

  11. Lazarou J, Pomeranz BH, Corey PN. Incidence of adverse drug reactions in hospitalized patients: a meta-analysis of prospective studies. JAMA. 1998;279:1200–5.

    Article  PubMed  CAS  Google Scholar 

  12. Phillips DP, Christenfeld N, Glynn LM. Increase in US medicationerror deaths between 1983 and 1993. Lancet. 1998;351:643–4.

    Article  PubMed  CAS  Google Scholar 

  13. Kohn L, Corrigan J, Donaldson M, eds. To Err is Human: Building a Safer Health System. Washington, DC: Institute of Medicine; 1999.

    Google Scholar 

  14. Johnson RE, Vollmer WM. Comparing sources of drug data about the elderly. J Am Geriatr Soc. 1991;39:1079–84.

    PubMed  CAS  Google Scholar 

  15. Beers MH, Munekata M, Storrie M. The accuracy of medication histories in the hospital medical records of elderly persons. J Am Geriatr Soc. 1990;38:1183–7.

    PubMed  CAS  Google Scholar 

  16. Spagnoli A, Ostino G, Borga AD, et al. Drug compliance and unreported drugs in the elderly. J Am Geriatr Soc. 1989;37:619–24.

    PubMed  CAS  Google Scholar 

  17. Leister KA, Edwards WA, Christensen DB, Clark H. A comparison of patient drug regimens as viewed by the physician, pharmacist, and the patient. Med Care. 1981;6:658–64.

    Article  Google Scholar 

  18. Claoue C, Elkington AR. Informing the hospital of patients’ drug regimens. BMJ (Clin Res Ed). 1986;292:101.

    Article  CAS  Google Scholar 

  19. Gilchrist WJ, Lee YC, Tam HC, MacDonald JB, Williams BO. Prospective study of drug reporting by general practitioners for an elderly population referred to a geriatric service. BMJ (Clin Res Ed). 1987;294:289–90.

    CAS  Google Scholar 

  20. Landry JA, Smyer MA, Stubman JG, Lago DJ, Roberto J, Simonson W. Validation of two methods of data collection of self-reported medicine use among the elderly. Gerontologist. 1988;28:672–6.

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Received from the University of Western Ontarion, London, Ontario

    John C. Yang MD

  2. Department of Public Health Sciences, University of Toronto, Toronto, Ontario

    George Tomlinson PhD

  3. University of Toronto Clinical Epidemiology and Health Care Research Program (University Health Network Unit), Toronto, Ontario

    George Tomlinson PhD &  Gary Naglie MD

  4. Departments of Medicine and Health Administration University of Toronto, Toronto, Ontario

    Gary Naglie MD

  5. Division of General Internal Medicine and Clinical Epidemiology, University Health Network, Toronto, Ontario

    Gary Naglie MD

  6. Geriatric Program, The Toronto Rehabilitation Institute, Toronto, Ontario, Canada

    Gary Naglie MD

Authors
  1. John C. Yang MD
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  2. George Tomlinson PhD
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  3. Gary Naglie MD
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Corresponding author

Correspondence to Gary Naglie MD.

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Yang, J.C., Tomlinson, G. & Naglie, G. Medication lists for elderly patients. J GEN INTERN MED 16, 112–115 (2001). https://doi.org/10.1111/j.1525-1497.2001.00303.x

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  • DOI: https://doi.org/10.1111/j.1525-1497.2001.00303.x

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