Clinical pharmacist implementation of a medication assessment tool for long-term management of atrial fibrillation in older persons
Pharm. pract. (Granada, Internet)
; 17(1): 0-0, ene.-mar. 2019. tab
Article
in English
| IBECS
| ID: ibc-184606
Responsible library:
ES1.1
Localization: BNCS
ABSTRACT
Background:
Optimisation of drug therapy is important in the older population and may be facilitated by medication assessment tools (MATs).Objective:
The purpose of the study was to evaluate whether appropriateness of drug therapy and clinical pharmacist intervention documentation improved following implementation of a previously developed MAT for the long-term management of atrial fibrillation (MAT-AF).Methods:
Adherence to MAT-AF review criteria and clinical pharmacist intervention documentation was assessed by the researcher pre-MAT implementation in 150 patients aged ≥60 years admitted to a rehabilitation hospital with a diagnosis of atrial fibrillation. MAT-AF was introduced as a clinical tool in the hospital for identification of pharmaceutical care issues in atrial fibrillation patients. Adherence to MAT-AF and pharmacist intervention documentation were assessed by the researcher post-MAT implementation for a further 150 patients with the same inclusion criteria. Logistic regression analysis and measurement of odds ratio was used to identify differences in adherence to MAT-AF pre- and post-MAT implementation. The differences between two population proportions z-test was used to compare pharmacist intervention documentation pre- and post-MAT implementation.Results:
Adherence to MAT-AF criteria increased from 70.9% pre-implementation to 89.6% post-implementation. MAT-AF implementation resulted in a significant improvement in prescription of anticoagulant therapy (OR 4.07, p<0.001) and monitoring of laboratory parameters for digoxin (OR 10.40, p<0.001). Clinical pharmacist intervention documentation improved significantly post-implementation of MAT-AF (z-score 20.249, p<0.001).Conclusions:
Implementation of MAT-AF within an interdisciplinary health care team significantly improved the appropriateness of drug therapy and pharmacist intervention documentation in older patients with atrial fibrillationRESUMEN
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Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Atrial Fibrillation
/
Drug Utilization Review
/
Medication Therapy Management
/
Inappropriate Prescribing
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
English
Journal:
Pharm. pract. (Granada, Internet)
Year:
2019
Document type:
Article
Institution/Affiliation country:
Karin Grech Hospital/Malta
/
University of Malta/Malta