Comparison of admission and discharge medications in two geriatric populations

N. Alexander, James Goodwin, C. Currie

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Drug usage patterns were determined from a chart review of two groups of the elderly upon admission to and discharge from the hospital. A comparison was made between a United States group (N = 60) and a Scotland group (N = 60). The most common drugs noted in both groups were cardiovascular drugs (primarily diuretics) and vitamins and minerals. The mean number of drugs per patient in both groups was approximately four, with minimal change in number between admission and discharge. The number of drugs decreased with male sex and increasing age in the United States group and increased with male sex and increasing age in the Scotland group. The Scotland group was on more short-acting benzodiazepines, more bowel medications, more antidepressants, more antiparkinson agents, and fewer respiratory drugs than the United States group. Although both groups tended to have certain drugs deleted, Scotland patients were more likely to have narcotics discontinued and bowel medications added before discharge. These drug usage patterns demonstrate substantial polypharmacy in the elderly and the importance of selecting appropriate drugs in the elderly.

Original languageEnglish (US)
Pages (from-to)827-832
Number of pages6
JournalJournal of the American Geriatrics Society
Volume33
Issue number12
StatePublished - 1985
Externally publishedYes

Fingerprint

Geriatrics
Scotland
Pharmaceutical Preparations
Population
Antiparkinson Agents
Cardiovascular Agents
Polypharmacy
Narcotics
Benzodiazepines
Diuretics
Vitamins
Antidepressive Agents
Minerals

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Comparison of admission and discharge medications in two geriatric populations. / Alexander, N.; Goodwin, James; Currie, C.

In: Journal of the American Geriatrics Society, Vol. 33, No. 12, 1985, p. 827-832.

Research output: Contribution to journalArticle

@article{e81c7f3baa28450ab86249f7a119f472,
title = "Comparison of admission and discharge medications in two geriatric populations",
abstract = "Drug usage patterns were determined from a chart review of two groups of the elderly upon admission to and discharge from the hospital. A comparison was made between a United States group (N = 60) and a Scotland group (N = 60). The most common drugs noted in both groups were cardiovascular drugs (primarily diuretics) and vitamins and minerals. The mean number of drugs per patient in both groups was approximately four, with minimal change in number between admission and discharge. The number of drugs decreased with male sex and increasing age in the United States group and increased with male sex and increasing age in the Scotland group. The Scotland group was on more short-acting benzodiazepines, more bowel medications, more antidepressants, more antiparkinson agents, and fewer respiratory drugs than the United States group. Although both groups tended to have certain drugs deleted, Scotland patients were more likely to have narcotics discontinued and bowel medications added before discharge. These drug usage patterns demonstrate substantial polypharmacy in the elderly and the importance of selecting appropriate drugs in the elderly.",
author = "N. Alexander and James Goodwin and C. Currie",
year = "1985",
language = "English (US)",
volume = "33",
pages = "827--832",
journal = "Journal of the American Geriatrics Society",
issn = "0002-8614",
publisher = "Wiley-Blackwell",
number = "12",

}

TY - JOUR

T1 - Comparison of admission and discharge medications in two geriatric populations

AU - Alexander, N.

AU - Goodwin, James

AU - Currie, C.

PY - 1985

Y1 - 1985

N2 - Drug usage patterns were determined from a chart review of two groups of the elderly upon admission to and discharge from the hospital. A comparison was made between a United States group (N = 60) and a Scotland group (N = 60). The most common drugs noted in both groups were cardiovascular drugs (primarily diuretics) and vitamins and minerals. The mean number of drugs per patient in both groups was approximately four, with minimal change in number between admission and discharge. The number of drugs decreased with male sex and increasing age in the United States group and increased with male sex and increasing age in the Scotland group. The Scotland group was on more short-acting benzodiazepines, more bowel medications, more antidepressants, more antiparkinson agents, and fewer respiratory drugs than the United States group. Although both groups tended to have certain drugs deleted, Scotland patients were more likely to have narcotics discontinued and bowel medications added before discharge. These drug usage patterns demonstrate substantial polypharmacy in the elderly and the importance of selecting appropriate drugs in the elderly.

AB - Drug usage patterns were determined from a chart review of two groups of the elderly upon admission to and discharge from the hospital. A comparison was made between a United States group (N = 60) and a Scotland group (N = 60). The most common drugs noted in both groups were cardiovascular drugs (primarily diuretics) and vitamins and minerals. The mean number of drugs per patient in both groups was approximately four, with minimal change in number between admission and discharge. The number of drugs decreased with male sex and increasing age in the United States group and increased with male sex and increasing age in the Scotland group. The Scotland group was on more short-acting benzodiazepines, more bowel medications, more antidepressants, more antiparkinson agents, and fewer respiratory drugs than the United States group. Although both groups tended to have certain drugs deleted, Scotland patients were more likely to have narcotics discontinued and bowel medications added before discharge. These drug usage patterns demonstrate substantial polypharmacy in the elderly and the importance of selecting appropriate drugs in the elderly.

UR - http://www.scopus.com/inward/record.url?scp=0022354257&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0022354257&partnerID=8YFLogxK

M3 - Article

VL - 33

SP - 827

EP - 832

JO - Journal of the American Geriatrics Society

JF - Journal of the American Geriatrics Society

SN - 0002-8614

IS - 12

ER -