Dataset Information

Discontinuity of chronic medications in patients discharged from the intensive care unit.

ABSTRACT:

Background

Intensive care unit (ICU) admission may connote an elevated risk of unintentional chronic medication discontinuation because of its focus on acute illnesses and the multiple care transitions.

Objective

To determine the proportion of patients discharged from the ICU whose previously prescribed chronic medications were unintentionally discontinued during their hospitalization.

Design and participants

Hospital records of consecutive ICU discharges at 1 academic and 2 community hospitals in Toronto, Canada, throughout 2002 were reviewed. Eligible patients were prescribed at least 1 of 6 medication groups before hospitalization: (1) HMG co-A reductase inhibitors (statins); (2) antiplatelets/anticoagulants (aspirin, clopidogrel, ticlopidine, warfarin); (3) l-thyroxine; (4) non-prn inhalers (anticholinergic, beta-agonist, or steroid); (5) acid-suppressing drugs (H2 antagonists and proton pump inhibitors); and (6) allopurinol.

Measurements

Use of explicit criteria to assess the proportion of patients whose previously prescribed chronic medications were unintentionally discontinued at hospital discharge.

Results

A total of 1,402 charts were eligible for the study and 834 had prescriptions for at least 1 of the medication groups. Thirty-three percent (251/834) of patients had 1 or more of their chronic medications omitted at hospital discharge. Multivariable logistic regression analysis found that patients from the academic hospital (adjusted odds ratio [OR] = 0.70, 95% confidence interval [CI] 0.49 to 1.0) and those with medical diagnoses (adjusted OR=0.48, 95% CI 0.31 to 0.75) had a decreased risk for chronic medication discontinuation.

Conclusions

Patients discharged from the ICU often leave the hospital without note of their previously prescribed chronic medications. Careful review of medication lists at ICU discharge could avoid potential adverse outcomes related to unintentional discontinuation of chronic medications at hospital discharge.

SUBMITTER: Bell CM

PROVIDER: S-EPMC1831608 | biostudies-literature | 2006 Sep

REPOSITORIES: biostudies-literature

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Publications

Discontinuity of chronic medications in patients discharged from the intensive care unit.

Bell Chaim M CM Rahimi-Darabad Parisa P Orner Avi I AI

Journal of general internal medicine 20060901 9

<h4>Background</h4>Intensive care unit (ICU) admission may connote an elevated risk of unintentional chronic medication discontinuation because of its focus on acute illnesses and the multiple care transitions.<h4>Objective</h4>To determine the proportion of patients discharged from the ICU whose previously prescribed chronic medications were unintentionally discontinued during their hospitalization.<h4>Design and participants</h4>Hospital records of consecutive ICU discharges at 1 academic and ...[more]

PMID: 16918738

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Dataset Information

Discontinuity of chronic medications in patients discharged from the intensive care unit.

Background

Objective

Design and participants

Measurements

Results

Conclusions

Publications

Discontinuity of chronic medications in patients discharged from the intensive care unit.

Similar Datasets

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