WeightNameValue
1000 Titel
  • How complete is the information on preadmission psychotropic medications in inpatients with dementia? A comparison of hospital medical records with dispensing data
1000 Autor/in
  1. Pisa, Federica Edith |
  2. Palese, Francesca |
  3. Romanese, Federico |
  4. Barbone, Fabio |
  5. Logroscino, Giancarlo |
  6. Riedel, Oliver |
1000 Erscheinungsjahr 2018
1000 LeibnizOpen
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2018-06-05
1000 Erschienen in
1000 Quellenangabe
  • 27(4):e1724
1000 FRL-Sammlung
1000 Verlagsversion
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7133096/ |
  • https://doi.org/10.1002/mpr.1724 |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • OBJECTIVES: Reliable information on preadmission medications is essential for inpatients with dementia, but its quality has hardly been evaluated. We assessed the completeness of information and factors associated with incomplete recording. METHODS: We compared preadmission medications recorded in hospital electronic medical records (EMRs) with community‐pharmacy dispensations in hospitalizations with discharge code for dementia at the University Hospital of Udine, Italy, 2012–2014. We calculated: (a) prevalence of omissions (dispensed medication not recorded in EMRs), additions (medication recorded in EMRs not dispensed), and discrepancies (any omission or addition); (b) multivariable logistic regression odds ratio, with 95% confidence interval (95% CI), of ≥1 omission. RESULTS: Among 2,777 hospitalizations, 86.1% had ≥1 discrepancy for any medication (Kappa 0.10) and 33.4% for psychotropics. When psychotropics were recorded in EMR, antipsychotics were added in 71.9% (antidepressants: 29.2%, antidementia agents: 48.2%); when dispensed, antipsychotics were omitted in 54.4% (antidepressants: 52.7%, antidementia agents: 41.5%). Omissions were 92% and twice more likely in patients taking 5 to 9 and ≥10 medications (vs. 0 to 4), 17% in patients with psychiatric disturbances (vs. none), and 41% with emergency admission (vs. planned). CONCLUSION: Psychotropics, commonly used in dementia, were often incompletely recorded. To enhance information completeness, both EMRs and dispensations should be used.
1000 Sacherschließung
lokal Dementia
lokal Pharmacoepidemiology
lokal Electronic health databases
lokal Psychotropic medications
lokal Electronic medical records
1000 Fächerklassifikation (DDC)
1000 Liste der Beteiligten
  1. https://orcid.org/0000-0003-0459-2616|https://frl.publisso.de/adhoc/uri/UGFsZXNlLCBGcmFuY2VzY2E=|https://frl.publisso.de/adhoc/uri/Um9tYW5lc2UsIEZlZGVyaWNv|https://frl.publisso.de/adhoc/uri/QmFyYm9uZSwgRmFiaW8=|https://frl.publisso.de/adhoc/uri/TG9ncm9zY2lubywgR2lhbmNhcmxv|https://frl.publisso.de/adhoc/uri/UmllZGVsLCBPbGl2ZXI=
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1000 Erstellt am 2020-06-22T15:24:27.173+0200
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1000 Oai Id
  1. oai:frl.publisso.de:frl:6421463 |
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