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Impact of potentially inappropriate medications on emergency ambulance admissions in geriatric patients after discharge.
Pharmazie
December 2024
Department of Hospital Pharmaceutics, School of Pharmacy, Showa University, Tokyo, Japan.
This study aimed to determine the risk of emergency admission by ambulance in patients taking potentially inappropriate medications (PIMs). We included 273,932 patients aged over 75 years of age admitted between January 1, 2019, and December 31, 2019, using the Japan Medical Data Center medical insurance database containing anonymized patient data. We excluded patients without a history of admission.
View Article and Find Full Text PDFAI driven decision support reduces antibiotic mismatches and inappropriate use in outpatient urinary tract infections.
NPJ Digit Med
January 2025
Maccabi Healthcare Services, Tel Aviv, 6812509, Israel.
Urinary tract infections (UTIs) often prompt empiric outpatient antibiotic prescriptions, risking mismatches. This study evaluates the impact of "UTI Smart-Set" (UTIS), an AI-driven decision-support tool, on prescribing patterns and mismatches in a large outpatient organization. UTIS integrates machine learning forecasts of antibiotic resistance, patient data, and guidelines into a user-friendly order set for UTI management.
View Article and Find Full Text PDFImpact of Antibiotic Shortages on Antibiotic Utilisation in the Community.
Pharmacoepidemiol Drug Saf
February 2025
Graduate School of Health, University of Technology Sydney, Sydney, Australia.
Background: Drug shortages are an increasing and worldwide problem. Oral antibiotics are one of the most used medicines worldwide and have recently been affected by drug shortages. Despite this, little is known about the impact of antibiotic shortages on prescribing practices.
View Article and Find Full Text PDFMove more, age well: prescribing physical activity for older adults.
CMAJ
January 2025
Western Centre for Public Health and Family Medicine (Thornton); Schulich School of Medicine & Dentistry (Thornton, Morley), Western University, London, Ont.; International Olympic Committee (Thornton), Lausanne, Switzerland; Division of Geriatric Medicine, Department of Medicine (Sinha), Temerty School of Medicine, University of Toronto; National Institute on Ageing (Sinha), Toronto Metropolitan University, Toronto, Ont.
Home mechanical ventilation: a narrative review and a proposal of practical approach.
Braz J Anesthesiol
January 2025
Hospital de Clínicas de Porto Alegre, Serviço de Pneumologia, Programa de Residência Médica em Medicina do Sono e Suporte Ventilatório, Porto Alegre, RS, Brazil.
Growing evidence of the benefits of home ventilatory support in patients with chronic respiratory failure along with technological advances in ventilators have enabled their use in overly complex situations, shaping a new scenario for physicians. This has further given rise to new challenges related to their incorporation into current medical practice. However, this evolution needs to be coupled with knowledge and skills of physicians who are willing to prescribe Home Mechanical Ventilation (HMV), in order to prevent them from making inappropriate choices or adjustments that may ultimately have ethical and legal implications.
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