{"_id":"qxbT6CEi8Et9Gi5cc","bibbaseid":"beuscart-ficheur-miqueu-luyckx-perichon-puisieux-beuscart-chazard-etal-coprescriptionsofpsychotropicdrugstoolderpatientsinageneralhospital-2017","downloads":0,"creationDate":"2017-06-17T04:37:30.740Z","title":"Co-prescriptions of psychotropic drugs to older patients in a general hospital","author_short":["Beuscart, J.","Ficheur, G.","Miqueu, M.","Luyckx, M.","Perichon, R.","Puisieux, F.","Beuscart, R.","Chazard, E.","Ferret, L."],"year":2017,"bibtype":"article","biburl":"https://api.zotero.org/users/576834/collections/NYCBQQBB/items?key=MJNBdUsYThALl7viNVVbkecN&format=bibtex&limit=100","bibdata":{"bibtype":"article","type":"article","title":"Co-prescriptions of psychotropic drugs to older patients in a general hospital","volume":"8","doi":"10.1016/j.eurger.2016.11.012","abstract":"Introduction The prescription of psychotropic drugs to older patients in a hospital setting has not been extensively characterized. The objective was to describe the inappropriate co-prescriptions of psychotropic drugs in hospitalized patients aged 75 and over. Methods By analysing the medical database from 222-bed general hospital in France, we reviewed a total of 11,929 stays of at least 3 days by patients aged 75 and over. Prescriptions and co-prescriptions of psychotropic drugs were identified automatically. Anticholinergic drugs with sedative effects were considered as psychotropic drugs. An expert review was performed for stays with the co-prescription of three or more psychotropic drugs to identify inappropriate co-prescriptions. Results Administration of a psychotropic drug was identified in 5475 stays (45.9% of the total number of stays), of which 1526 (12.8% of the total) featured at least one co-prescription. Co-prescriptions of three or more psychotropic drugs for at least 3 days were identified in 374 stays (3.1% of the total). Most of these co-prescriptions (n = 334; 89.2%) were considered inappropriate because of the combination of at least two drugs from the same psychotropic class (n = 269), the absence of a clear indication for a psychotropic drug (n = 173) and a history of falls (n = 86). However, the co-prescriptions were maintained after hospital discharge in 77.4% of cases. Conclusion The co-prescriptions of psychotropic drugs should be re-evaluated in older hospitalized patients. © 2016 Elsevier Masson SAS and European Union Geriatric Medicine Society","number":"1","journal":"European Geriatric Medicine","author":[{"propositions":[],"lastnames":["Beuscart"],"firstnames":["J.-B."],"suffixes":[]},{"propositions":[],"lastnames":["Ficheur"],"firstnames":["G."],"suffixes":[]},{"propositions":[],"lastnames":["Miqueu"],"firstnames":["M."],"suffixes":[]},{"propositions":[],"lastnames":["Luyckx"],"firstnames":["M."],"suffixes":[]},{"propositions":[],"lastnames":["Perichon"],"firstnames":["R."],"suffixes":[]},{"propositions":[],"lastnames":["Puisieux"],"firstnames":["F."],"suffixes":[]},{"propositions":[],"lastnames":["Beuscart"],"firstnames":["R."],"suffixes":[]},{"propositions":[],"lastnames":["Chazard"],"firstnames":["E."],"suffixes":[]},{"propositions":[],"lastnames":["Ferret"],"firstnames":["L."],"suffixes":[]}],"year":"2017","keywords":"Data reuse, Inappropriate prescribing, Psychotropic drugs","pages":"84–89","bibtex":"@article{beuscart_co-prescriptions_2017,\n\ttitle = {Co-prescriptions of psychotropic drugs to older patients in a general hospital},\n\tvolume = {8},\n\tdoi = {10.1016/j.eurger.2016.11.012},\n\tabstract = {Introduction The prescription of psychotropic drugs to older patients in a hospital setting has not been extensively characterized. The objective was to describe the inappropriate co-prescriptions of psychotropic drugs in hospitalized patients aged 75 and over. Methods By analysing the medical database from 222-bed general hospital in France, we reviewed a total of 11,929 stays of at least 3 days by patients aged 75 and over. Prescriptions and co-prescriptions of psychotropic drugs were identified automatically. Anticholinergic drugs with sedative effects were considered as psychotropic drugs. An expert review was performed for stays with the co-prescription of three or more psychotropic drugs to identify inappropriate co-prescriptions. Results Administration of a psychotropic drug was identified in 5475 stays (45.9\\% of the total number of stays), of which 1526 (12.8\\% of the total) featured at least one co-prescription. Co-prescriptions of three or more psychotropic drugs for at least 3 days were identified in 374 stays (3.1\\% of the total). Most of these co-prescriptions (n = 334; 89.2\\%) were considered inappropriate because of the combination of at least two drugs from the same psychotropic class (n = 269), the absence of a clear indication for a psychotropic drug (n = 173) and a history of falls (n = 86). However, the co-prescriptions were maintained after hospital discharge in 77.4\\% of cases. Conclusion The co-prescriptions of psychotropic drugs should be re-evaluated in older hospitalized patients. © 2016 Elsevier Masson SAS and European Union Geriatric Medicine Society},\n\tnumber = {1},\n\tjournal = {European Geriatric Medicine},\n\tauthor = {Beuscart, J.-B. and Ficheur, G. and Miqueu, M. and Luyckx, M. and Perichon, R. and Puisieux, F. and Beuscart, R. and Chazard, E. and Ferret, L.},\n\tyear = {2017},\n\tkeywords = {Data reuse, Inappropriate prescribing, Psychotropic drugs},\n\tpages = {84--89},\n}\n\n","author_short":["Beuscart, J.","Ficheur, G.","Miqueu, M.","Luyckx, M.","Perichon, R.","Puisieux, F.","Beuscart, R.","Chazard, E.","Ferret, L."],"key":"beuscart_co-prescriptions_2017","id":"beuscart_co-prescriptions_2017","bibbaseid":"beuscart-ficheur-miqueu-luyckx-perichon-puisieux-beuscart-chazard-etal-coprescriptionsofpsychotropicdrugstoolderpatientsinageneralhospital-2017","role":"author","urls":{},"keyword":["Data reuse","Inappropriate prescribing","Psychotropic drugs"],"metadata":{"authorlinks":{"chazard, e":"https://www.chazard.org/emmanuel/publications_older.htm","beuscart, j":"https://pro.univ-lille.fr/jean-baptiste-beuscart/publications"}},"downloads":0},"search_terms":["prescriptions","psychotropic","drugs","older","patients","general","hospital","beuscart","ficheur","miqueu","luyckx","perichon","puisieux","beuscart","chazard","ferret"],"keywords":["data reuse","inappropriate prescribing","psychotropic drugs"],"authorIDs":["4Kew94K6HA7NJPX9Z","56bbc1d374cc1b530f000455","5c812602df56d51000000144","5de7e5e0c8f9f6df0100015e","5de7f8ccc8f9f6df010002bb","5ded28f59d5885de01000036","5def9dac706001de010000cd","5dfdca63b6b936e401000059","5e2987f4b7b1e8de010000cc","5e343c4b0c807ede01000031","5e5145c6fe5af9df0100007a","5e5fda3d5241b5de0100002e","5e6a0d908a1455de01000311","TaHudmME8852eigtD","dbGudjxzAqNqqb9kP","eiHY9MjjBM3gqEujj","kBW6Tt8nkHnKvzNQj","oqyzpTkPLQEYCPEbk","sNmKyQYr9ZbXTXPBe","tSpR3ofnve2Tso2Zt"],"dataSources":["KcAAuaxski6XBszw2","Ad3P6FkzWSCKrZQXc"]}