RT Journal
A1 Morandi A, Vasilevskis EE, Pandharipande PP, et al
T1 Inappropriate medications in elderly icu survivors: Where to intervene?
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 2011
FD June 13
VO 171
IS 11
SP 1032
OP 1034
DO 10.1001/archinternmed.2011.233
UL http://dx.doi.org/10.1001/archinternmed.2011.233
AB 
Elderly patients are often prescribed potentially inappropriate medications (PIMs) during their hospital stay, which are still present at discharge.1 It is, however, unknown where these PIM therapies are initiated (ie, before hospital admission or in the pre–intensive care unit [ICU] ward, ICU, or post-ICU ward) and if they are stopped or continued across care transitions within the hospital. Furthermore, it is unclear if these PIMs are actually inappropriate medications (AIMs), given the patients' underlying medical condition. We evaluated medication appropriateness in a cohort of critically ill elderly patients, assessing the number and types of PIMs and AIMs at hospital discharge and determining their source of initiation.