tailieunhanh - Báo cáo hóa học: " The prevalence of polypharmacy in elderly attenders to an emergency department - a problem with a need for an effective solution"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành hóa học dành cho các bạn yêu hóa học tham khảo đề tài: The prevalence of polypharmacy in elderly attenders to an emergency department - a problem with a need for an effective solution | Banerjee et al. International Journal of Emergency Medicine 2011 4 22 http content 4 1 22 o International Journal of Emergency Medicine a SpringerOpen Journal ORIGINAL RESEARCH Open Access The prevalence of polypharmacy in elderly attenders to an emergency department - a problem with a need for an effective solution Ashis Banerjee1 David Mbamalu1 Sayed Ebrahimi1 Arshad Ali Khan1 and Toong Foo Chan2 Abstract We studied the prevalence of polypharmacy in attenders aged 75 years and over to an emergency department ED in North London over a period of 1 month. We identified 467 patients in this age group. Analysis of medications being prescribed revealed at least 82 patients on medication with the potential for adverse interaction. There is a need for ED-initiated strategies to identify interactions and for pathways to allow for medication review. Introduction Iatrogenic disease contributes significantly to morbidity and mortality in the elderly population 1 . The ageing population in the UK is steadily expanding with associated increased use of prescription medications. The estimated resident population in the UK in mid-2009 was 61 792 000. Over the last 25 years the percentage of the population aged 65 and over has increased by million from 15 in 1984 to 16 in 2009. By 2034 23 of the population is projected to be aged 65 and over compared to 18 aged under 16. The fastest population rise has been in those aged 85 and over from 660 000 in 1984 to million in 2009 2 . Emergency department ED attendances by those aged 75 years and over are also continuing to rise. It has been recognised that emergency presentations may be influenced by the prescription of multiple drugs. The issue needs to be revisited as part of the strategy to reduce increased pressures on hospital bed capacity in the UK as there is a perception that iatrogenic disease may contribute to avoidable admission. These strategies should be expected to be extrapolated to other health .

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