0:00:00hello
0:00:01nineteen is just all and i'm a classical assistant professor hubris over to the faculty
0:00:06of fancy and pharmaceutical signs
0:00:09i one of the call primary authors of this paper describing medication use changed for
0:00:13older adults following presentation to the requisite department for can acquire or cat
0:00:19this is an analysis of a really should be stressed radio stations from edmonton alberta
0:00:24canada that initially including all patients greater than seventeen years of age presented from the
0:00:30hearer's two thousand two thousand and you with cap
0:00:33during quality improvement venture
0:00:36we utilized in what is very index and research there's is to collect socio demographic
0:00:41clinical and laboratory data
0:00:43we restricted this analysis to those greater than sixty five years of age as this
0:00:47population has been demonstrated to experience greater morbidity and mortality in our previous work
0:00:53as well as frequently experienced oliveira c
0:00:57and thus are particularly high risk adverse drug
0:01:01we also have access to complete prescription cleans data provincial administrative database for this population
0:01:09during transitions the care studies have shown that many intended medication changes that unintended
0:01:15medication discrepancies occur placing this all syllable duration at risk of not only adverse events
0:01:22but also be hospitalisation and the effects that under over treatment
0:01:27we believe that you need to identify populations address suboptimal but you should use
0:01:32and understanding one to target their medication profiles for optimization
0:01:37while we're an adverse drug that's
0:01:40as such we summarize determine whether altercations presenting with community acquired pneumonia or subject to
0:01:47only fancy
0:01:49be here particularly high risk and in to describe their patterns of medication use at
0:01:54and for one here following than one you presentation
0:01:58we include two thousand one hundred five subjects that are final study sample with the
0:02:03meeting to seventy years old
0:02:05sixty two percent were admitted to hospital
0:02:08and forty five percent of all the pharmacy baseline
0:02:12which we defined as five or more medication
0:02:16i was increased to seventy four percent in the score in the ninety period following
0:02:21yes cap but remains stable for the balance of the one you're follow up here
0:02:25e
0:02:26a limitation of our study is that were unable to quantify more throw measures of
0:02:31medication part
0:02:32and could not assessed medication appropriate
0:02:35however
0:02:36we found that e percent tuition started at least one you medication in the first
0:02:41time t d's a follow-up most commonly in an effective and almost seventy five percent
0:02:47of patients also stopped at least one medication during this time here
0:02:52although the overall prevalence of medication classes remain stable throughout follow-up the vast majority of
0:02:58patients had medication changes during the transition of care
0:03:03you're respect to the antibiotic use
0:03:06we believe that this time frame immediately following discharge is critical particularly older adults with
0:03:12multiple medications
0:03:14with the transfer here
0:03:15resolution q don't is
0:03:17you medications and challenges in here and
0:03:20may combine to produce higher risk of medication really problems
0:03:25our findings or i the proposed discharge convalescent phase and among older models
0:03:30two speech will more throw medication review with the court optimized right
0:03:36in q