{"id":4948,"date":"2023-03-27T04:34:39","date_gmt":"2023-03-27T02:34:39","guid":{"rendered":"https:\/\/www.jphres.org\/?p=4948"},"modified":"2023-04-02T14:18:49","modified_gmt":"2023-04-02T12:18:49","slug":"monitoring-polypharmacy-in-healthcare-systems-through-a-multi-setting-survey-should-we-put-more-attention-on-long-term-care-facilities","status":"publish","type":"page","link":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/745\/","title":{"rendered":"Monitoring polypharmacy in healthcare systems through a multi-setting survey: should we put more attention on long term care facilities?"},"content":{"rendered":"<div class=\"item doi\"><span class=\"value\"><a href=\"https:\/\/doi.org\/10.4081\/jphr.2016.745\">https:\/\/doi.org\/10.4081\/jphr.2016.745<\/a><\/span><\/div>\n<ul class=\"item authors\">\n<li><span class=\"name\"><strong>Luca Arnoldo<\/strong><br \/>\n<\/span><span class=\"affiliation\">Department of Medical and Biological Sciences, University of Udine, Italy.<\/span><\/li>\n<li><span class=\"name\"><strong>Giovanni Cattani<\/strong><br \/>\n<\/span><span class=\"affiliation\">Department of Medical and Biological Sciences, University of Udine, Italy.<\/span><\/li>\n<li><span class=\"name\"><strong>Piergiorgio Cojutti<\/strong><br \/>\n<\/span><span class=\"affiliation\">Institute of Clinical Pharmacology, Complex Local Health Unit, Udine, Italy.<\/span><\/li>\n<li><span class=\"name\"><strong>Federico Pea<\/strong><br \/>\n<\/span><span class=\"affiliation\">Institute of Clinical Pharmacology, Complex Local Health Unit, Udine, Italy.<\/span><\/li>\n<li><span class=\"name\"><strong>Silvio Brusaferro<\/strong><br \/>\n<\/span><span class=\"affiliation\">Department of Medical and Biological Sciences, University of Udine, Italy.<\/span><\/li>\n<\/ul>\n<div class=\"item abstract\">\n<h3 class=\"label\">ABSTRACT<\/h3>\n<p><em>Background<\/em>. Polypharmacy is a main issue of patient safety in all healthcare settings (<em>i.e.<\/em>\u00a0increase adverse drug reactions and incidence of drug-drug interactions, etc.). The main object of the study was to evaluate the prevalence of polypharmacy and the appropriateness of drugs prescriptions in the regional health system (RHS) of Friuli Venezia-Giulia Region, Italy.<br \/>\n<em><br \/>\nDesign and methods<\/em>. We carried out a point prevalence study in May 2014; 1582 patients \u226565 years were included from: 14 acute hospitals, 46 Long Term Care Facilities (LTCFs) and 42 general practitioners\u2019 (GPs) clinics. Data analysis included the evaluation of potentially inappropriate prescriptions (PIPs) taking Beers criteria as a reference.<br \/>\n<em><br \/>\nResults<\/em>. Patients in therapy with 10 drugs or more were 13.5%: 15.2% in hospitals, 9.7% in GPs\u2019 clinics and 15.6% in LTCFs. According to Beers criteria we identified 1152 PIPs that involved globally almost half of patients (46.0%): 41.9% in hospitals, 59.6% in LTCFs and 37.0% in GP\u2019s clinics. The 53.9% of patients received at least one mainly kidney excreted drug; for these patients the evaluation of serum creatinine was overall present in the 87.7% (747\/852): 96.4% in hospital ones, 87.5% in GPs\u2019 clinics and 77.8% in LTCFs. LTCFs residents were significantly (P&lt;0.05) more exposed to PIPs and less monitored for the renal function.<br \/>\n<em><br \/>\nConclusions<\/em>. A reliable estimation of the phenomenon in all the main healthcare settings is a necessary prerequisite to set tailored policies for facing polypharmacy within a RHS; the results showed the necessity to put a special attention on LTCFs.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>https:\/\/doi.org\/10.4081\/jphr.2016.745 Luca Arnoldo Department of Medical and Biological Sciences, University of Udine, Italy. Giovanni Cattani Department of Medical and Biological Sciences, University of Udine, Italy. Piergiorgio Cojutti Institute of Clinical Pharmacology, Complex Local Health Unit, Udine, Italy. Federico Pea Institute of Clinical Pharmacology, Complex Local Health Unit, Udine, Italy. Silvio Brusaferro Department of Medical and &#8230; <a title=\"Monitoring polypharmacy in healthcare systems through a multi-setting survey: should we put more attention on long term care facilities?\" class=\"read-more\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/745\/\" aria-label=\"More on Monitoring polypharmacy in healthcare systems through a multi-setting survey: should we put more attention on long term care facilities?\">Read more<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-4948","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Monitoring polypharmacy in healthcare systems through a multi-setting survey: should we put more attention on long term care facilities? - Journal of Public Health Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/745\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Monitoring polypharmacy in healthcare systems through a multi-setting survey: should we put more attention on long term care facilities? - Journal of Public Health Research\" \/>\n<meta property=\"og:description\" content=\"https:\/\/doi.org\/10.4081\/jphr.2016.745 Luca Arnoldo Department of Medical and Biological Sciences, University of Udine, Italy. Giovanni Cattani Department of Medical and Biological Sciences, University of Udine, Italy. Piergiorgio Cojutti Institute of Clinical Pharmacology, Complex Local Health Unit, Udine, Italy. Federico Pea Institute of Clinical Pharmacology, Complex Local Health Unit, Udine, Italy. Silvio Brusaferro Department of Medical and ... 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Giovanni Cattani Department of Medical and Biological Sciences, University of Udine, Italy. Piergiorgio Cojutti Institute of Clinical Pharmacology, Complex Local Health Unit, Udine, Italy. Federico Pea Institute of Clinical Pharmacology, Complex Local Health Unit, Udine, Italy. Silvio Brusaferro Department of Medical and ... 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