Geriatric Psychotropic Stewardship Team to de-escalate inappropriate psychotropic medications in general medicine inpatients

An evaluation

Olivia A Pellicano, Erica Tong, Gary Yip, Louise Monk, Xiang Loh, Michelle Ananda-Rajah, Michael Dooley

Research output: Contribution to journal › Article › Research › peer-review

Abstract

Objectives: To assess the feasibility and effectiveness of a Geriatric Psychotropic Stewardship Team (GPST) and to achieve inpatient de-escalation of inappropriate psychotropic medications in patients aged over 65 years on a general medicine ward. Methods: A multidisciplinary GPST conducted twice-weekly rounds on general medicine inpatients known to be taking psychotropic medications. A consensus recommendation was generated, with subsequent treating team action recorded. Results: A total of 125 patients taking 180 psychotropic medications were identified for GPST review. Of these, 32 medications (18%) had been ceased by the treating team prior to GPST review. Adoption of GPST recommendations at 24 hours and at discharge occurred for 85 medications (57%) and 79 medications (53%), respectively. Conclusions: This study demonstrates the feasibility of a structured multidisciplinary approach in the de-escalation of inappropriate psychotropic medications in older hospital patients on a general medicine ward. Further studies are required to assess scalability and long-term clinical outcomes.

Original languageEnglish
Pages (from-to)E37-E41
Number of pages5
JournalAustralasian Journal on Ageing
Volume37
Issue number2
DOIs
Publication statusPublished - 1 Jun 2018

Keywords

  • aged
  • deprescriptions
  • geriatrics
  • inappropriate prescribing
  • psychotropic drugs

Cite this

Pellicano, Olivia A ; Tong, Erica ; Yip, Gary ; Monk, Louise ; Loh, Xiang ; Ananda-Rajah, Michelle ; Dooley, Michael. / Geriatric Psychotropic Stewardship Team to de-escalate inappropriate psychotropic medications in general medicine inpatients : An evaluation. In: Australasian Journal on Ageing. 2018 ; Vol. 37, No. 2. pp. E37-E41.
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abstract = "Objectives: To assess the feasibility and effectiveness of a Geriatric Psychotropic Stewardship Team (GPST) and to achieve inpatient de-escalation of inappropriate psychotropic medications in patients aged over 65 years on a general medicine ward. Methods: A multidisciplinary GPST conducted twice-weekly rounds on general medicine inpatients known to be taking psychotropic medications. A consensus recommendation was generated, with subsequent treating team action recorded. Results: A total of 125 patients taking 180 psychotropic medications were identified for GPST review. Of these, 32 medications (18{\%}) had been ceased by the treating team prior to GPST review. Adoption of GPST recommendations at 24 hours and at discharge occurred for 85 medications (57{\%}) and 79 medications (53{\%}), respectively. Conclusions: This study demonstrates the feasibility of a structured multidisciplinary approach in the de-escalation of inappropriate psychotropic medications in older hospital patients on a general medicine ward. Further studies are required to assess scalability and long-term clinical outcomes.",
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Pellicano, OA, Tong, E, Yip, G, Monk, L, Loh, X, Ananda-Rajah, M & Dooley, M 2018, 'Geriatric Psychotropic Stewardship Team to de-escalate inappropriate psychotropic medications in general medicine inpatients: An evaluation', Australasian Journal on Ageing, vol. 37, no. 2, pp. E37-E41. https://doi.org/10.1111/ajag.12501

Geriatric Psychotropic Stewardship Team to de-escalate inappropriate psychotropic medications in general medicine inpatients : An evaluation. / Pellicano, Olivia A ; Tong, Erica; Yip, Gary; Monk, Louise; Loh, Xiang; Ananda-Rajah, Michelle; Dooley, Michael.

In: Australasian Journal on Ageing, Vol. 37, No. 2, 01.06.2018, p. E37-E41.

Research output: Contribution to journal › Article › Research › peer-review

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T2 - An evaluation

AU - Pellicano, Olivia A

AU - Tong, Erica

AU - Yip, Gary

AU - Monk, Louise

AU - Loh, Xiang

AU - Ananda-Rajah, Michelle

AU - Dooley, Michael

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N2 - Objectives: To assess the feasibility and effectiveness of a Geriatric Psychotropic Stewardship Team (GPST) and to achieve inpatient de-escalation of inappropriate psychotropic medications in patients aged over 65 years on a general medicine ward. Methods: A multidisciplinary GPST conducted twice-weekly rounds on general medicine inpatients known to be taking psychotropic medications. A consensus recommendation was generated, with subsequent treating team action recorded. Results: A total of 125 patients taking 180 psychotropic medications were identified for GPST review. Of these, 32 medications (18%) had been ceased by the treating team prior to GPST review. Adoption of GPST recommendations at 24 hours and at discharge occurred for 85 medications (57%) and 79 medications (53%), respectively. Conclusions: This study demonstrates the feasibility of a structured multidisciplinary approach in the de-escalation of inappropriate psychotropic medications in older hospital patients on a general medicine ward. Further studies are required to assess scalability and long-term clinical outcomes.

AB - Objectives: To assess the feasibility and effectiveness of a Geriatric Psychotropic Stewardship Team (GPST) and to achieve inpatient de-escalation of inappropriate psychotropic medications in patients aged over 65 years on a general medicine ward. Methods: A multidisciplinary GPST conducted twice-weekly rounds on general medicine inpatients known to be taking psychotropic medications. A consensus recommendation was generated, with subsequent treating team action recorded. Results: A total of 125 patients taking 180 psychotropic medications were identified for GPST review. Of these, 32 medications (18%) had been ceased by the treating team prior to GPST review. Adoption of GPST recommendations at 24 hours and at discharge occurred for 85 medications (57%) and 79 medications (53%), respectively. Conclusions: This study demonstrates the feasibility of a structured multidisciplinary approach in the de-escalation of inappropriate psychotropic medications in older hospital patients on a general medicine ward. Further studies are required to assess scalability and long-term clinical outcomes.

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Pellicano OA, Tong E, Yip G, Monk L, Loh X, Ananda-Rajah M et al. Geriatric Psychotropic Stewardship Team to de-escalate inappropriate psychotropic medications in general medicine inpatients: An evaluation. Australasian Journal on Ageing. 2018 Jun 1;37(2):E37-E41. https://doi.org/10.1111/ajag.12501

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