Proportion of admissions related to Adverse Drug Events
13%
22%
65%
Definite
Contributing
Not related
Medication review using the ‘pill pruner’
`Pill pruner’
• Diuretics (Loop, thiazides)• Vasodilators (calcium antagonists, α-blockers)• Anti-platelet• CNS medications (TCA, benzo,antipsychotics, SSRI)• Anticholinergics• Antihistamines• NSAIDS• Proton pump inhibitors
Frequency of drugs stopped/ reduced
• Cardiovascular drugs– Vasodilators & β blockers 66– Diuretics (loop, thiazides) 57– Antiplatelets & anticoagulant 50– ACEI 32– Statins 30
• CNS medications 36• Proton pump inhibitor 16• Others (e.g. laxatives, analgesics, Ca ) 182