Hospitalization in older patients due to adverse drug reactions - The need for a prediction tool

© 2016 Parameswaran Nair et al.Adverse drug reactions (ADRs) represent a major burden on society, resulting in significant morbidity, mortality, and health care costs. Older patients living in the community are particularly susceptible to ADRs, and are at an increased risk of ADR-related hospitaliza...

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Main Authors: Nair, N., Stafford, Leanne, Peterson, G., Bereznicki, B., Castelino, R., Bereznicki, L.
Format: Journal Article
Published: Dove Medical Press Ltd. 2016
Online Access:http://hdl.handle.net/20.500.11937/58300
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author Nair, N.
Stafford, Leanne
Peterson, G.
Bereznicki, B.
Castelino, R.
Bereznicki, L.
author_facet Nair, N.
Stafford, Leanne
Peterson, G.
Bereznicki, B.
Castelino, R.
Bereznicki, L.
author_sort Nair, N.
building Curtin Institutional Repository
collection Online Access
description © 2016 Parameswaran Nair et al.Adverse drug reactions (ADRs) represent a major burden on society, resulting in significant morbidity, mortality, and health care costs. Older patients living in the community are particularly susceptible to ADRs, and are at an increased risk of ADR-related hospitalization. This review summarizes the available evidence on ADR-related hospital admission in older patients living in the community, with a particular focus on risk factors for ADRs leading to hospital admission and the need for a prediction tool for risk of ADR-related hospitalization in these individuals. The reported proportion of hospital admissions due to ADRs has ranged from 6% to 12% of all admissions in older patients. The main risk factors or predictors for ADR-related admissions were advanced age, polypharmacy, comorbidity, and potentially inappropriate medications. There is a clear need to design intervention strategies to prevent ADR-related hospitalization in older patients. To ensure the cost-effectiveness of such strategies, it would be necessary to target them to those older individuals who are at highest risk of ADR-related hospitalization. Currently, there are no validated tools to assess the risk of ADRs in primary care. There is a clear need to investigate the utility of tools to identify high-risk patients to target appropriate interventions toward prevention of ADR-related hospital admissions.
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spelling curtin-20.500.11937-583002017-11-24T05:46:26Z Hospitalization in older patients due to adverse drug reactions - The need for a prediction tool Nair, N. Stafford, Leanne Peterson, G. Bereznicki, B. Castelino, R. Bereznicki, L. © 2016 Parameswaran Nair et al.Adverse drug reactions (ADRs) represent a major burden on society, resulting in significant morbidity, mortality, and health care costs. Older patients living in the community are particularly susceptible to ADRs, and are at an increased risk of ADR-related hospitalization. This review summarizes the available evidence on ADR-related hospital admission in older patients living in the community, with a particular focus on risk factors for ADRs leading to hospital admission and the need for a prediction tool for risk of ADR-related hospitalization in these individuals. The reported proportion of hospital admissions due to ADRs has ranged from 6% to 12% of all admissions in older patients. The main risk factors or predictors for ADR-related admissions were advanced age, polypharmacy, comorbidity, and potentially inappropriate medications. There is a clear need to design intervention strategies to prevent ADR-related hospitalization in older patients. To ensure the cost-effectiveness of such strategies, it would be necessary to target them to those older individuals who are at highest risk of ADR-related hospitalization. Currently, there are no validated tools to assess the risk of ADRs in primary care. There is a clear need to investigate the utility of tools to identify high-risk patients to target appropriate interventions toward prevention of ADR-related hospital admissions. 2016 Journal Article http://hdl.handle.net/20.500.11937/58300 10.2147/CIA.S99097 Dove Medical Press Ltd. unknown
spellingShingle Nair, N.
Stafford, Leanne
Peterson, G.
Bereznicki, B.
Castelino, R.
Bereznicki, L.
Hospitalization in older patients due to adverse drug reactions - The need for a prediction tool
title Hospitalization in older patients due to adverse drug reactions - The need for a prediction tool
title_full Hospitalization in older patients due to adverse drug reactions - The need for a prediction tool
title_fullStr Hospitalization in older patients due to adverse drug reactions - The need for a prediction tool
title_full_unstemmed Hospitalization in older patients due to adverse drug reactions - The need for a prediction tool
title_short Hospitalization in older patients due to adverse drug reactions - The need for a prediction tool
title_sort hospitalization in older patients due to adverse drug reactions - the need for a prediction tool
url http://hdl.handle.net/20.500.11937/58300