Hospital Readmissions in Hospice Patients: Evaluation of Medication-Related Causes for Readmission. (Record no. 5566)

MARC details
000 -LEADER
fixed length control field 03056nam a22003617a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 201006s20202020 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1049-9091
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1177/1049909120959641 [doi]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 32935551
245 ## - TITLE STATEMENT
Title Hospital Readmissions in Hospice Patients: Evaluation of Medication-Related Causes for Readmission.
251 ## - Source
Source American Journal of Hospice & Palliative Medicine. :1049909120959641, 2020 Sep 16
252 ## - Abbreviated Source
Abbreviated source Am J Hosp Palliat Care. :1049909120959641, 2020 Sep 16
253 ## - Journal Name
Journal name The American journal of hospice & palliative care
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2020
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2021
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
266 ## - Date added to catalog
Date added to catalog 2020-10-06
501 ## - WITH NOTE
Local holdings Available online from MWHC library: 1999 - present, Available in print through MWHC library:1999-2007
520 ## - SUMMARY, ETC.
Abstract CONCLUSIONS: These findings suggest that deprescribing practices possibly contributeto readmissions from hospice settings.
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Abstract CONTEXT: Hospital readmissions, frequent medication changes, and polypharmacy are common issues for hospice patients. It is important to consider if close monitoring of medications by pharmacists could help these patients avoid hospital readmissions.
520 ## - SUMMARY, ETC.
Abstract METHODS: A retrospective chart review was conducted from October 1, 2018 to January 31, 2020. Patients admitted from hospice settings (i.e. Home, ALF, LTCF) and who were seen by the palliative care teams at 9 Maryland and Washington DC MedStar hospitals were included. Demographic information was collected: age, gender, race, primary hospice diagnosis, prognosis determined by provider prior to hospice disposition, reason for readmission, and medication list at readmission. The primary outcomes were the incidence and types of medication-related problems. Secondary outcomes included patient characteristics associated with readmission, and classes/number of medications changed before readmission. Descriptive statistics were used to analyze data.
520 ## - SUMMARY, ETC.
Abstract OBJECTIVE: The objectives of this study were to determine the incidence and types of medication-related problems that contributed to hospital readmissions from hospice settings.
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Abstract RESULTS: Seventy-five hospice patients were readmitted and seen by palliative care during the study period. Forty-three patients (57%) were found to have medication-related problems at readmission. The most common problem identified was needing additional drug therapy. Dose too low, dose too high, incorrect drugs, adverse drug reactions, and non-adherence were also identified. Additional reasons for readmission were: unanticipated new medical issue (n = 46, 61%) and uncontrolled symptoms (n = 34, 34%).
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Union Memorial Hospital
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
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Local Authors Lowry, Maria Felton
790 ## - Authors
All authors DeAngelis J, Lowry MF
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1177/1049909120959641">https://dx.doi.org/10.1177/1049909120959641</a>
Public note https://dx.doi.org/10.1177/1049909120959641
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 10/06/2020   32935551 32935551 10/06/2020 10/06/2020 Journal Article

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