title: What's the hospitalisation's impact on background treatments of patients over 65 years.
abstract: As our population aging increases, it requires a particular attention from the health system. Indeed, elderly are often frail, with several diseases and presenting high risk of adverse drug accident. Prescribing appropriately to the elderly has become an important matter. Hospitalization and consultation with the general practitioner are key moments for drug prescription. However, their real impact on background treatments of this population has been barely evaluated. A retrospective descriptive study was conducted with 300 patients over 65 years old, hospitalized at the Laveran military hospital in Marseille. Treatment modifications, consecutive to hospitalization and to the first consultation with the general practitioner, were identified and analyzed. We found an average prescription of 5.93 drugs in prehospital period and 66% of the patients with polypharmacy. Drugs for cardiovascular system were the most prescribed and the most modified. Hospitalization generated a rate of modification by prescription of 28.5% and the consultation with the general practitioner following this hospitalization led to further change in 48% of cases. Beside the important prevalence of patients with polypharmacy, this study shows that hospitalization entails a significant change in background treatments in that population at risk. Therefore, it is important to have a consensus in the re-evaluation of these treatments, in order to prevent the iatrogenic risk.
authors: Service de médecine interne, Hôpital d'instruction des armées Laveran, Marseille, France.
authors: Guillaume
authors: G
authors: Gasperini
authors: Service de médecine interne, Hôpital d'instruction des armées Laveran, Marseille, France.
authors: Sylvain
authors: S
authors: Molinier
authors: Centre d'épidémiologie de santé publique des armées, Marseille, France.
authors: Catherine
authors: C
authors: Marimoutou
authors: Institut du bien vieillir, Korian, Paris, France.
authors: Philippe
authors: P
authors: Denormandie
authors: Institut du bien vieillir, Korian, Paris, France, Pôle information médicale-évaluation-performance, Centre hospitalier de Troyes, France.
authors: Stéphane
authors: S
authors: Sanchez
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003266:Continuity of Patient Care; D011307:Drug Prescriptions / Q000706:statistics & numerical data; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D054539:Medication Therapy Management; D011787:Quality of Health Care; D012189:Retrospective Studies
keywords: drugs modification; elderly; hospital; primary care