Abstract

The dramatic demographic changes that are occurring in the third millennium are modifying the mis-sion of generalist professionals such as primary care phy-sicians and internists. Multiple chronic diseases and the related prescription of multiple medications are becoming typical problems and present many challenges. Unfortu-nately, the available evidence regarding the efficacy of medications has been generated by clinical trials involving patients completely different from those currently admitted to internal medicine: much younger, affected by a single disease and managed in a highly controlled research environment. Because only registries can provide infor-mation on drug effectiveness in real-life conditions, REPOSI started in 2008 with the goal of acquiring data on elderly people acutely admitted to medical or geriatric hospital wards in Italy. The main goals of the registry were to evaluate drug prescription appropriateness, the rela-tionship between multimorbidity/polypharmacy and such cogent outcomes as hospital mortality and re-hospitaliza-tion, and the identification of disease clusters that most often concomitantly occur in the elderly. The findings of 3-yearly REPOSI runs (2008, 2010, 2012) suggest the following pertinent tasks for the internist in order to optimally handle their elderly patients: the management of multiple medications, the need to become acquainted with geriatric multidimensional tools, the promotion and implementation of a multidisciplinary team approach to patient health and care and the corresponding involvement of patients and their relatives and caregivers. There is also a need for more research, tailored to the peculiar features of the multimorbid elderly patient.
Lingua originaleEnglish
pagine (da-a)723-734
Numero di pagine12
RivistaInternal and Emergency Medicine
Volume9
Stato di pubblicazionePublished - 2014

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Emergency Medicine

Fingerprint Entra nei temi di ricerca di 'MULTIMORBIDITY AND POLYPHARMACY IN THE ELDERLY: LESSONS FROM REPOSI'. Insieme formano una fingerprint unica.

Cita questo