Steven Pryjmachuk, Susan Kirk, Claire Fraser, Nicola Evans, Rhiannon Lane, Liz Neill, Elizabeth Camacho, Peter Bower, Penny Bee, Tim McDougall
Service design for children and young people with common mental health problems: literature review, service mapping and collective case study
Health and social care delivery research
medicines related problems mrps common frail older people due agecompromised body systems propensity multiple drugs concurrently group people also succumb rapid deterioration health thus important investigate mrps frail older people objectives study evaluate prevalence mrps types mrps risk factors deterioration associated mrps frail older people admitted english teaching hospital primary care included sample frail older adults aged 65 years admitted primary care data retrieved hospitals electronic patient record system anonymised reviewed mrps mrps retrospectively identified admission coded whoicd102016 world health organisationinternational classification diseases version 10 2016 descriptive inferential statistics performed data using spss version 25 primary outcome prevalence mrps frail older patients secondary outcome association deterioration indicated fall delirium news 3 presence mrps among 507 frail older people 4 rockwood scale met criteria inclusion 262 518 patients mrps 244 482 without median age sample whole 85 years iqr 8089 prevalence mrps 3328 types mrps adverse drug reaction adr20 noncompliance 91 unintentional poisoning 33 inappropriate polypharmacy 08 logistic regression potentially inappropriate medicines pim social support number comorbidities winter significant predictors mrps risk deteriorating delirium two times higher patients mrps patients without mrps rr 2613 95 ci 1049 6510 mrps risks deterioration associated mrps frail older people reduced factors associated mrps modified