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 language | English |
|---|---|
| Pages (from-to) | E37-E41 |
| Number of pages | 5 |
| Journal | Australasian Journal on Ageing |
| Volume | 37 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 1 Jun 2018 |
Keywords
- aged
- deprescriptions
- geriatrics
- inappropriate prescribing
- psychotropic drugs
Cite this
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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
C2 - 29573070
AN - SCOPUS:85044299354
VL - 37
SP - E37-E41
JO - Australasian Journal on Ageing
JF - Australasian Journal on Ageing
SN - 1440-6381
IS - 2
ER -