Intervention Technique Shows Promise for Discontinuing Inappropriate Meds

Multidisciplinary Multistep Medication Review is effective for use in frail nursing home residents
Multidisciplinary Multistep Medication Review is effective for use in frail nursing home residents

HealthDay News — The Multidisciplinary Multistep Medication Review (3MR) is effective for discontinuation of inappropriate medication among elderly nursing home residents without a decline in their well-being, according to a study published online October 9 in the Annals of Internal Medicine.

Hans Wouters, PhD, from the University of Groningen in the Netherlands, and colleagues examined successful discontinuation of inappropriate medication use among nursing home residents in a cluster randomized controlled trial conducted in 59 Dutch nursing home wards. The 3MR intervention consisted of an assessment of the patient perspective, medical history, critical medication appraisal, meeting between the treating elder care physician and pharmacist, and implementation of medication changes. Nineteen physicians in 33 wards performed the 3MR, and 16 in 26 wards performed standard procedures. 

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The researchers followed 426 nursing home residents (233 in the intervention group and 193 in the control group) for an average of 144 days. Use of at least one inappropriate medication was successfully discontinued for 39.1 and 29.5% of residents in the intervention and control groups, respectively (adjusted relative risk, 1.37). There was no deterioration in clinical outcomes between baseline and follow-up.

"The 3MR is effective in discontinuing inappropriate medication use in frail nursing home residents without a decline in their well-being," the authors write.

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