Risk Factors for High-Level Polypharmacy in Elderly Hospital Patient

Purpose: To identify an elderly patient in the hospital who is at increased risk for high level polypharmacy based on the study of Harugeri et al.

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Evaluation

Are you evaluating an elderly patient in the hospital?

Yes

Number of clinical diagnoses

Does the patient have angina pectoris?

Yes

Actual or expected length of stay (LOS) in the hospital

days

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of risk factors for high-level (excess) polypharmacy (>= 10 drugs prescribed)

Is the patient at risk for high-level polypharmacy?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Identifying Unnecessary Antibiotic Usage Near End of Life
- Cough & Cold Remedy | Risk Factors for Complications in Pediatric Patient
Other Testing
- Drug Burden Index (DBI) (Total Drug Burden, TDB)
Criteria For Diagnosis
- 1997 Beers Diagnosis Independent Criteria to Identify Potentially Inappropriate Drug Use In an Elderly Patient
Severity, Prognosis, Stage
- Cough & Cold Remedy | Risk Factors for Complications in Pediatric Patient
Complications
- Cough & Cold Remedy | Risk Factors for Complications in Pediatric Patient

Therapy

Selection
- Identifying Unnecessary Antibiotic Usage Near End of Life
Pharmacogenetics
- Clinical Utility Score of Kain
- Potentially High Risk Medications
Drug Interactions
Dosage Calculations
- Clinical Utility Score of Kain
- Listing of Drugs with Narrow Therapeutic Index
Dosage Adjustments
Administration
- CNS Penetration Effectiveness (CPE) Score for Antiretroviral Drug Regimen
Failure Handling And Therapy Escalation
- Deprescribing
Prevention
- Medications to Avoid in a Patient at Risk for Delirium

Monitoring

Adverse Effects
Drug Levels
Compliance/adherence
- Pseudopolypharmacy
- Drug Burden Index (DBI) (Total Drug Burden, TDB)
Overdose And Reversal
Complication Detection
- Medication Appropriateness Index

Specialty

Pharmacology, clinical

Objective

risk factors
severity
prognosis
stage
administration

ICD-10

Info

Purpose: To identify an elderly patient in the hospital who is at increased risk for high level polypharmacy based on the study of Harugeri et al.

Specialty: Pharmacology, clinical

Objective: risk factors, severity, prognosis, stage, administration

ICD-10: ,

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