KMID : 0941820220320040321
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Korean Journal of Clinical Pharmacy 2022 Volume.32 No. 4 p.321 ~ p.327
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Pilot Prospective Study for Validation of Korean Medication Review Tool for Nursing Home Residents in Older Adults Living in Long-term Care Facilities
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Chae Hyun-Woo
Jeong Jong-Hyun Jun Kwang-Hee Lee Ju-Yeun
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Abstract
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Background: To implement medication management service in Korean nursing home (NH), medication review tool for residents inKorean long-term care facilities was developed. This prospective pilot study aimed to verify the applicability of this newlydeveloped tool and to evaluate the drug related problems (DRPs) identified by pharmacists¡¯ medication review in NH setting.
Methods: This study was carried out in two NHs in Korea. The elderly residents (65 or older) using 5 or more medications wereeligible. Pharmacists conducted medication review and identified the DRPs and potentially inappropriate medications (PIMs) basedon the newly developed tool.
Results: Among 43 NH residents, 27 residents agreed to participate. The median age was 87 and about55.6% of them were taking 10 or more medications. Pharmacists identified a total of 37 PIMs in 18 NH residents (66.7%) and 54DRPs in 22 residents (81.5%). The most frequent PIM was general-PIM (26 cases) followed by PIM under specific diseases orconditions (7 cases). Out of 77 items contained in the tool, 15 items were detected in study participants. ¡®Continued use or regulardaily use of hypnotics¡¯ was the most highly detected item (9 cases) followed by ¡®multiple prescriptions within each class ofhypnotics/sedatives¡¯ (5 cases). Among 54 DRPs identified, pharmacist intervened 39 cases (72.2%) and interventions were acceptedin 18 cases (46.1%).
Conclusion: This pilot study demonstrated that newly developed tool is feasible for the nursing home residents.
However, further studies with larger population are warranted.
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KEYWORD
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long-term care facility, medication review, medication review tool, potentially inappropriate medications
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