Identifying Risk Factors Associated with Inappropriate Use of Acid Suppressive Therapy at a Community Hospital
Joint Authors
Bahl, Jaya
Singh, Amandeep
Bodukam, Vijay
Saigal, Kirit
Wang, Yvette
Hanlon, Alexandra
Lu, Yinghui
Davis, Michael
Source
Gastroenterology Research and Practice
Issue
Vol. 2016, Issue 2016 (31 Dec. 2015), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-10-12
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Purpose.
By examining the prescribing patterns and inappropriate use of acid suppressive therapy (AST) during hospitalization and at discharge we sought to identify the risk factors associated with such practices.
Methods.
In this retrospective observational study, inpatient records were reviewed from January 2011 to December 2013.
Treatment with AST was considered appropriate if the patient had a known specific indication or met criteria for stress ulcer prophylaxis.
Results.
In 2011, out of 58 patients who were on AST on admission, 32 were newly started on it and 23 (72%) were inappropriate cases.
In 2012, out of 97 patients on AST, 61 were newly started on it and 51 (84%) were inappropriate cases.
In 2013, 99 patients were on AST, of which 48 were newly started on it and 36 (75%) were inappropriate cases.
19% of the patients inappropriately started on AST were discharged on it in three years.
Younger age, female sex, and 1 or more handoffs between services were significantly associated with increased risk of inappropriate AST.
Conclusion.
Our findings reflect inappropriate prescription of AST which leads to increase in costs of care and unnecessarily puts the patient at risk for potential adverse events.
The results of this study emphasize the importance of examining the patient’s need for AST at each level of care especially when the identified risk factors are present.
American Psychological Association (APA)
Singh, Amandeep& Bodukam, Vijay& Saigal, Kirit& Bahl, Jaya& Wang, Yvette& Hanlon, Alexandra…[et al.]. 2016. Identifying Risk Factors Associated with Inappropriate Use of Acid Suppressive Therapy at a Community Hospital. Gastroenterology Research and Practice،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1104603
Modern Language Association (MLA)
Singh, Amandeep…[et al.]. Identifying Risk Factors Associated with Inappropriate Use of Acid Suppressive Therapy at a Community Hospital. Gastroenterology Research and Practice Vol. 2016, no. 2016 (2015), pp.1-7.
https://search.emarefa.net/detail/BIM-1104603
American Medical Association (AMA)
Singh, Amandeep& Bodukam, Vijay& Saigal, Kirit& Bahl, Jaya& Wang, Yvette& Hanlon, Alexandra…[et al.]. Identifying Risk Factors Associated with Inappropriate Use of Acid Suppressive Therapy at a Community Hospital. Gastroenterology Research and Practice. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1104603
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1104603