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Geriatrician interventions on medication prescribing for frail older people in residential aged care facilities

Overview of attention for article published in Clinical Interventions in Aging, January 2015
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (80th percentile)
  • High Attention Score compared to outputs of the same age and source (83rd percentile)

Mentioned by

twitter
13 tweeters
facebook
1 Facebook page

Citations

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9 Dimensions

Readers on

mendeley
34 Mendeley
Title
Geriatrician interventions on medication prescribing for frail older people in residential aged care facilities
Published in
Clinical Interventions in Aging, January 2015
DOI 10.2147/cia.s84402
Pubmed ID
Authors

Arjun Poudel, Leonard C Gray, Ruth E Hubbard, Charles A Mitchell, Lisa M Nissen, Nancye M Peel, Poudel, Arjun, Peel, Nancye M, Mitchell, Charles A, Gray, Leonard C, Nissen, Lisa M, Hubbard, Ruth E

Abstract

In Australian residential aged care facilities (RACFs), the use of certain classes of high-risk medication such as antipsychotics, potent analgesics, and sedatives is high. Here, we examined the prescribed medications and subsequent changes recommended by geriatricians during comprehensive geriatric consultations provided to residents of RACFs via videoconference. This is a prospective observational study. Four RACFs in Queensland, Australia, are included. A total of 153 residents referred by general practitioners for comprehensive assessment by geriatricians delivered by video-consultation. Residents' mean (standard deviation, SD) age was 83.0 (8.1) years and 64.1% were female. They had multiple comorbidities (mean 6), high levels of dependency, and were prescribed a mean (SD) of 9.6 (4.2) regular medications. Ninety-one percent of patients were taking five or more medications daily. Of total medications prescribed (n=1,469), geriatricians recommended withdrawal of 9.8% (n=145) and dose alteration of 3.5% (n=51). New medications were initiated in 47.7% (n=73) patients. Of the 10.3% (n=151) medications considered as high risk, 17.2% were stopped and dose altered in 2.6%. There was a moderate prevalence of potentially inappropriate high-risk medications. However, geriatricians made relatively few changes, suggesting either that, on balance, prescription of these medications was appropriate or, because of other factors, there was a reluctance to adjust medications. A structured medication review using an algorithm for withdrawing medications of high disutility might help optimize medications in frail patients. Further research, including a broader survey, is required to understand these dynamics.

Twitter Demographics

The data shown below were collected from the profiles of 13 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 34 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 1 3%
Canada 1 3%
Unknown 32 94%

Demographic breakdown

Readers by professional status Count As %
Researcher 8 24%
Unspecified 5 15%
Student > Ph. D. Student 4 12%
Student > Bachelor 4 12%
Other 3 9%
Other 10 29%
Readers by discipline Count As %
Medicine and Dentistry 12 35%
Pharmacology, Toxicology and Pharmaceutical Science 7 21%
Unspecified 7 21%
Nursing and Health Professions 5 15%
Social Sciences 2 6%
Other 1 3%

Attention Score in Context

This research output has an Altmetric Attention Score of 7. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 July 2015.
All research outputs
#2,162,835
of 12,914,125 outputs
Outputs from Clinical Interventions in Aging
#276
of 1,330 outputs
Outputs of similar age
#45,142
of 232,414 outputs
Outputs of similar age from Clinical Interventions in Aging
#10
of 59 outputs
Altmetric has tracked 12,914,125 research outputs across all sources so far. Compared to these this one has done well and is in the 83rd percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,330 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.5. This one has done well, scoring higher than 79% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 232,414 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 80% of its contemporaries.
We're also able to compare this research output to 59 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 83% of its contemporaries.