Individualized Medication Review in Older People with Multimorbidity: A Comparative Analysis between Patients Living at Home and in a Nursing Home.

(1) Background: aging is associated with complex and dynamic changes leading to multimorbidity and, therefore, polypharmacy. A periodic medication review (MR) in frail older people leads to optimizing medication use. The aims of the study were to perform a comparative analysis of the impact of place of residence (own home versus nursing home) in a cohort of older patients on the characteristics of the baseline therapeutic plan and characteristics of the therapeutic plan after an MR; (2) Methods: Study with paired pre- and post-MR data based on person-centred prescription, with a follow-up assessment at three months.

[Applicability and limitations of physical performance tests for frailty screening on discharge from an intermediate care hospital].

Introduction: Frailty screening can be performed with different tools and in multiple settings. Among the different evaluation systems, gait speed (GS) and Timed Up-and-Go (TUG) are postulated as simple and easy to apply systems. There are few data on the prevalence of frailty in intermediate care centre inpatients.

[Driving and dementia: Case analysis in a cognitive disorders diagnostic unit].

Objective: To determine clinical characteristics of patients with dementia who are currently driving and to analyse the way driving cessation is put into operation and the difficulties identified by patient and family.

Method: A descriptive study of patients evaluated during 2 years in a Cognitive Disorders Assessment Clinic in the Hospital Universitari de la Santa Creu de Vic (Barcelona, Spain), who were driving at the time of diagnosis. General and functional patient data were recorded and a questionnaire was later completed by their relatives.

[Analysis of dementia patient mortality in a psychogeriatric unit].

Aim: To determine the characteristics of patients with dementia who died in a psychogeriatric unit, and to describe the conditions that led to their death.

Material And Methods: Observational study of patients who died in the Psychogeriatric unit of Hospital de la Santa Creu de Vic during a three and a half year period.

Results: Of the 554 patients admitted during the study period, we recorded a mortality of 14.

[Care assessment parameters in an intermediate care unit for patients with dementia].

Objective: To evaluate the care outcomes of a psychogeriatric unit.

Material And Methods: A prospective study of 46 patients with dementia consecutively admitted to Psychogeriatric Unit between May and August 2008. The parameters analysed were: a) median Neuropsychiatric Inventory (NPI) on admission, after one week and at discharge, b) percentage of patients coming from home or discharged from the acute hospital, c) percentage of patients coming from the acute hospital with an average stay equal or less than 7 days, d) percentages of falls and physical restraints, and e) destination at discharge.