Clinical Report: Alleviating Medication Load and Enhancing Pressure Injury Results
Overview
This study evaluates a pharmacist-led multidisciplinary approach in elderly emergency patients with pre-existing pressure injuries.
Background
Pressure injuries are a significant concern in elderly patients, often leading to extended hospital stays and increased healthcare costs. The complexity of medication regimens can complicate recovery, making effective management essential. This study explores the integration of pharmacist-led care in emergency settings.
Data Highlights
Outcome
Pre-Implementation
Post-Implementation
P-Value
Clinical Recovery Rate
1.2%
10.3%
0.002
PI Enhancement Rate
77.0%
87.4%
0.041
Braden Score Improvement
53.9%
78.9%
<0.001
Length of Stay (days)
-
1.1 days shorter
0.142
Medication Expense Percentage
-
Significantly reduced
<0.05
Key Findings
The post-implementation group showed an increase in clinical recovery rates (10.3% vs. 1.2%, P = 0.002).
Pressure injury enhancement rates improved (87.4% vs. 77.0%, P = 0.041).
Braden scores improved post-implementation (78.9% vs. 53.9%, P < 0.001).
The average number of prescribed medications decreased by 3.37.
Medication expenses and daily MRCI scores reduced (P < 0.05).
No notable changes were detected in the contemporaneous non-PI reference group.
Clinical Implications
The findings indicate a reduction in medication complexity and improvements in outcomes for elderly patients with pressure injuries in emergency settings.
Conclusion
The pharmacist-led multidisciplinary care model reduced medication burden and improved clinical outcomes in elderly patients with pressure injuries.
