Impact of Residential Medication Management Reviews on Anticholinergic Burden in Aged Care Residents (original) (raw)

Current medical research and opinion, 2015

Abstract

The primary objective of this study was to investigate the impact of Residential Medication Management Reviews (RMMRs) on anticholinergic burden quantified by seven anticholinergic risk scales. Retrospective analysis. Accredited pharmacists conducted RMMRs in aged-care facilities (ACF) in Sydney, Australia. RMMRs pertaining to 814 residents aged 65 years or older. Anticholinergic burden was quantified using seven scales at baseline, after pharmacists' recommendations and after the actual GP uptake of pharmacists' recommendations. Change in the anticholinergic burden was measured using the Wilcoxon sign rank test. At baseline, depending on the scale used to estimate the anticholinergic burden, between 36 and 67% of patients were prescribed at least one regular anticholinergic medication (ACM). Anticholinergic burden scores were significantly (p<0.001) lower after pharmacists' recommendations as determined by each of the seven scales. The reduction in anticholinergic bu...

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