The effect of pharmacists on ward rounds measured by the STOPP/START tool in a specialized geriatric unit

Mulvogue, K., Roberts, J. A., Coombes, I., Cottrell, N., Kanagarajah, S. and Smith, A. (2017) The effect of pharmacists on ward rounds measured by the STOPP/START tool in a specialized geriatric unit. Journal of Clinical Pharmacy and Therapeutics, 42 2: 178-184. doi:10.1111/jcpt.12489

Author Mulvogue, K.
Roberts, J. A.
Coombes, I.
Cottrell, N.
Kanagarajah, S.
Smith, A.
Title The effect of pharmacists on ward rounds measured by the STOPP/START tool in a specialized geriatric unit
Journal name Journal of Clinical Pharmacy and Therapeutics   Check publisher's open access policy
ISSN 1365-2710
Publication date 2017-04-01
Sub-type Article (original research)
DOI 10.1111/jcpt.12489
Open Access Status Not yet assessed
Volume 42
Issue 2
Start page 178
End page 184
Total pages 7
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2018
Language eng
Formatted abstract
What is known and objective: The STOPP/START tool has been validated to assess elderly patients for potentially inappropriate prescribing. This study aimed to assess the effect of inclusion of a pharmacist on a physician-led ward round on potentially inappropriate prescribing in hospitalized elderly patients.

Methods: This was an observational study of prescribing for patients using the STOPP/START tool at three points during hospital stay; admission to hospital, on transfer to the specialized geriatric unit and on discharge from hospital. Data were collected over 4 months pre- and post-introduction of a pharmacist to a physician-led ward round. Demographic and clinical data, including total number of medications and STOPP/START criteria met, were collected. The mean number of STOPP/START criteria at each time-point was compared for pre- and post-introduction of a pharmacist using a Mann–Whitney U-test. The mean number of criteria for each time-point within each group was compared using a paired Student’s t-test.

Results and discussion: The demographic characteristics of the participants in the pre- and post-intervention groups were similar. The post-intervention group had numerically less STOPP/START criteria, mean 1·18 (1·37) compared to the pre-intervention group 1·50 (1·41), P = 0·07 at discharge. The pre-intervention group had no significant change in the criteria from admission 1·78 (1·57) to geriatric unit transfer 1·72 (1·54) (P = 0·37); however, there was a significant decrease from geriatric unit transfer 1·72 (1·54) to discharge 1·50 (1·41) (P = 0·02). The post-intervention group had a significant decrease from hospital admission 2·30 (1·91) to geriatric unit transfer 1·59 (1·60) (P < 0·01) and again to discharge 1·18 (1·37) (P < 0·01).

What is new and conclusion: Pharmacist participation on the ward round in a specialized geriatric unit resulted in a numerical improvement in prescribing quality as measured by the STOPP/START tool.
Keyword Aging
Clinical pharmacy
Pharmacy practice
Prescribing practices
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Medicine Publications
School of Pharmacy Publications
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