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  • Anticholinergic burden in older inpatients on psychotropic medication: do we care?

    Author(s)
    Lee, Mei Shiang
    Kisely, Steve
    Zolotarev, Boris
    Warren, Andrew
    Henderson, Jack
    George, Manoj
    Griffith University Author(s)
    Kisely, Steve R.
    Year published
    2017
    Metadata
    Show full item record
    Abstract
    Objectives: This quality activity explored the prescribing patterns in an Older Persons Mental Health Inpatient Unit in order to establish whether the Anticholinergic Cognitive Burden Scale (ACB Scale) score on admission was reviewed to minimise anticholinergic cognitive burden (ACB) while maintaining therapeutic effects. Methods: A retrospective electronic chart review of 50 discharged patients for any documented ACB review by the treating team, as well as the ACB Scale scores on admission and discharge. Findings: ACB was rarely considered. On average, the total ACB Scale scores on admission and discharge were high. At the ...
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    Objectives: This quality activity explored the prescribing patterns in an Older Persons Mental Health Inpatient Unit in order to establish whether the Anticholinergic Cognitive Burden Scale (ACB Scale) score on admission was reviewed to minimise anticholinergic cognitive burden (ACB) while maintaining therapeutic effects. Methods: A retrospective electronic chart review of 50 discharged patients for any documented ACB review by the treating team, as well as the ACB Scale scores on admission and discharge. Findings: ACB was rarely considered. On average, the total ACB Scale scores on admission and discharge were high. At the time of discharge, the proportion of patients on at least one anticholinergic medication had significantly increased, and only 10% of patients were on no anticholinergic medication. Approximately 50% of patients had an increased ACB Scale score by discharge as opposed to only 8% who had reduced scores. Conclusions: Anticholinergic polypharmacy should be minimised when prescribing to the elderly population to reduce potential anticholinergic burden.
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    Journal Title
    Australasian Psychiatry
    Volume
    25
    Issue
    6
    DOI
    https://doi.org/10.1177/1039856217726687
    Subject
    Biomedical and clinical sciences
    Psychology
    Science & Technology
    Life Sciences & Biomedicine
    Psychiatry
    anticholinergic burden
    ACB
    Publication URI
    http://hdl.handle.net/10072/387865
    Collection
    • Journal articles

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