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.
@article{8f1229d3cebb40c7b127c56c1e76933e,
title = "Geriatric Psychotropic Stewardship Team to de-escalate inappropriate psychotropic medications in general medicine inpatients: An evaluation",
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.",
keywords = "aged, deprescriptions, geriatrics, inappropriate prescribing, psychotropic drugs",
author = "Pellicano, {Olivia A} and Erica Tong and Gary Yip and Louise Monk and Xiang Loh and Michelle Ananda-Rajah and Michael Dooley",
year = "2018",
month = "6",
day = "1",
doi = "10.1111/ajag.12501",
language = "English",
volume = "37",
pages = "E37--E41",
journal = "Australasian Journal on Ageing",
issn = "1440-6381",
publisher = "Wiley-Blackwell",
number = "2",

}

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

TY - JOUR

T1 - Geriatric Psychotropic Stewardship Team to de-escalate inappropriate psychotropic medications in general medicine inpatients

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

PY - 2018/6/1

Y1 - 2018/6/1

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.

KW - aged

KW - deprescriptions

KW - geriatrics

KW - inappropriate prescribing

KW - psychotropic drugs

UR - http://www.scopus.com/inward/record.url?scp=85044299354&partnerID=8YFLogxK

U2 - 10.1111/ajag.12501

DO - 10.1111/ajag.12501

M3 - Article

VL - 37

SP - E37-E41

JO - Australasian Journal on Ageing

JF - Australasian Journal on Ageing

SN - 1440-6381

IS - 2

ER -

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

Access to Document