To assess the impact of a pharmacist-led, multidisciplinary stratified care model on medication load and clinical outcomes in elderly emergency patients with pre-existing pressure injuries.
Approach:
Key Findings:
Post-implementation, the percentage of medication expenses and daily Medication Regimen Complexity Index (MRCI) scores significantly reduced.
The average count of prescribed medications declined by 3.37.
Clinical recovery rates increased from 1.2% to 10.3% (P = 0.002).
Pressure injury enhancement rates improved from 77.0% to 87.4% (P = 0.041).
Braden score improvement was noted from 53.9% to 78.9% (P < 0.001).
Length of stay was shortened by 1.1 days (P = 0.142).
Interpretation:
The pharmacist-led, multidisciplinary stratified care framework reduced medication load and improved clinical outcomes in elderly emergency patients with pressure injuries.
Limitations:
The study was retrospective and conducted in a single tertiary care facility, which may limit generalizability.
The reduction in medication count and Drug Burden Index (DBI) did not achieve statistical significance.
Conclusion:
The integration of pharmacist-led care with nursing strategies offers a practical approach to optimize management of pressure injuries in elderly patients.
