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Appropriate medication prescribing in older adults living in long term care facilities

Research Project

Project/Area Number 26860475
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field General internal medicine(including psychosomatic medicine)
Research InstitutionThe University of Tokyo

Principal Investigator

Ishii Shinya  東京大学, 医学部附属病院, 助教 (80710996)

Project Period (FY) 2014-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Fiscal Year 2015: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2014: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Keywords薬物有害事象 / 慎重投与薬 / 老人保健施設 / 療養病床 / 多剤投与 / 高齢者医療 / 多剤併用 / 高血圧 / 降圧薬
Outline of Final Research Achievements

We analyzed the data from a retrospective cohort of 470 patients in 53 Geriatric Health Service Facilities and 44 Sanatorium Type Medical Care Facilities for the Elderly Requiring Long Term Care. Adverse outcomes within 3 months after admission were observed in 8.9% of the entire cohort, and were associated with age, sex, facility type and number of parenteral medications on admission. Adverse outcomes between one and three months after admission were associated with age, sex, number of parenteral medications at one month, and a change in the number of oral and parenteral medications within one month after admission. We concluded that use of PIM was prevalent in long-term care facilities. Our findings support the importance of comprehensive assessment of medication regimens including parenteral medication.

Report

(3 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Research-status Report
  • Research Products

    (1 results)

All 2016

All Journal Article (1 results) (of which Peer Reviewed: 1 results,  Acknowledgement Compliant: 1 results)

  • [Journal Article] The association of change in medication regimen and use of inappropriate medication based on Beers criteria with adverse outcomes in Japanese long-term care facilities2016

    • Author(s)
      Shinya Ishii, Taro Kojima, Kazuhiko Ezawa, Kentaro Higashi, Yukihiko Ikebata, Yozo Takehisa, Masahiro Akishita
    • Journal Title

      Geriatrics & Gerontology International

      Volume: in press

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant

URL: 

Published: 2014-04-04   Modified: 2017-05-10  

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