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개정된 원내 노인부적절약물 목록을 활용한 입원환자의 약물 평가 및 임상적 중재에 의한 회피비용 분석
Assessment of Medications for Geriatric Inpatients based on Revised Inappropriate Medication Criteria and Cost Avoidance by Intervention of Pharmacists

병원약사회지 2014년 31권 1호 p.629 ~ p.637

이종혜(Lee Jong-Hye) - 분당서울대학교병원 약제부
노주현(Roh Ju-Hyun) - 분당서울대학교병원 약제부
서예원(Suh Ye-Won) - 분당서울대학교병원 약제부
이정화(Lee Jeong-Hwa) - 부산대학교병원 약제부
이은숙(Lee Eun-Sook) - 분당서울대학교병원 약제부
이병구(Lee Byoung-Koo) - 분당서울대학교병원 약제부
김광일(Kim Kwang-Il) - 분당서울대학교병원 노인의료센터

Abstract

The purpose of the Geriatric Center (GC) in Seoul National University Bundang Hospital (SNUBH) is to provide comprehensive care to geriatric patients using comprehensive geriatric assessment (CGA) tool. Pharmacists in the center perform medication intervention using the Potentially Inappropriate Medications (PIMs) list consolidated by SNUBH based on the Beers criteria of 2003. In 2012, the list was revised based on the Screening Tool of Older Person’s Prescriptions (STOPP) criteria of 2008 and the Beers criteria of 2012. In this study, we assessed the medication for the inpatients in the center based on the revised SNUBH inappropriate medication criteria of 2012 to evaluate economic outcomes of pharmacists’interventions in terms of the prospect of cost avoidance.
Eighty nine patients, admitted the SNUBH GC during the period of March 1st to August 31st in 2012, were involved in this study. The median age of the patients was 82.2 years old: Among them, 46.1% of the patient had more than four diseases, 70.1% of the patient had adequate drug compliance, and 19.1% of the patient experienced drug adverse events. There were differences in the prescription prior to hospitalization in comparison to that at their discharge. In this comparison, we found that the median number of medication was decreased from 9.4 to 6.3: Probably as the result of the reduction in the number, the percentage of patients who received the medications listed under PIMs and duplicated drugs was also significantly decreased from 58.4% to 31.4% and from 21.3% to 1.1%, respectively. In total, 336 clinical interventions were performed by the pharmacists: The most frequent types of the intervention were related to the identification of potential drug adverse events and drug-drug interaction, suggesting that the prescription in geriatric patients can be significantly improved in many respects by pharmacists’medication assessment and intervention. More importantly, the cost avoidance as the result of the intervention was found to ＼52,216,666.2. Since Korea represents the one of the most rapidly aging societies in the world, the intervention of pharmacists can serve as the practical means for medical cost-saving in Korea.

키워드

Inappropriate medication criteria for elderly, Elderly patients, Medication intervention by pharmacist, Cost avoidance

KMID : 0869620140310010629

원문 및 링크아웃 정보

등재저널 정보

주제코드

주제명(Target field)

연구대상(Population)

연구참여(Sample size)

대상성별(Gender)

질병특성(Condition Category)

연구환경(Setting)

연구설계(Study Design)

연구기간(Period)

중재방법(Intervention Type)

중재명칭(Intervention Name)

키워드(Keyword)

유효성결과(Recomendation)

연구비지원(Fund Source)

근거수준평가(Evidence Hierarchy)

출판년도(Year)

참여저자수(Authors)

대표저자

DOI

KCD코드

ICD 03

건강보험코드

개정된 원내 노인부적절약물 목록을 활용한 입원환자의 약물 평가 및 임상적 중재에 의한 회피비용 분석 Assessment of Medications for Geriatric Inpatients based on Revised Inappropriate Medication Criteria and Cost Avoidance by Intervention of Pharmacists

Abstract

키워드

개정된 원내 노인부적절약물 목록을 활용한 입원환자의 약물 평가 및 임상적 중재에 의한 회피비용 분석
Assessment of Medications for Geriatric Inpatients based on Revised Inappropriate Medication Criteria and Cost Avoidance by Intervention of Pharmacists