Improving quantification of anticholinergic burden using the Anticholinergic Effect on Cognition Scale - a healthcare improvement study in a geriatric ward setting.
Improving quantification of anticholinergic burden using the Anticholinergic Effect on Cognition Scale - a healthcare improvement study in a geriatric ward setting.
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DOI：
10.1177/10398562221103117
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发表时间：
2022-08
影响因子：
1.8
通讯作者：
Kwek, Andrew Boon Eu
中科院分区：
文献类型：
--
作者：
Balasundaram, Bharathi;Ang, Wendy Swee Tee;Stewart, Robert;Bishara, Delia;Ooi, Chun How;Li, Fuyin;Akram, Farooq;Kwek, Andrew Boon Eu
关键词：
抗胆碱能负荷是指服用具有抗胆碱能作用的多种药物的累积效应。这项研究是在新加坡的一家公立医院进行的，旨在改善和实现100%的全面识别和评估老年病房老年精神病学联络服务中测量的抗胆碱能药物负担。我们评估了评估前后抗胆碱能负荷评分和受训者反馈的变化。采用Plan Do Study Act方法，并实施抗胆碱能对认知量表（AEC）作为研究干预。一项调查工具评估了受训者的反馈。在170次评估的基线中，未测量抗胆碱能负荷。在2021年6月至11月期间，分两个周期进行了75次联络精神病学评估。94.7%的预评估（评估时）和71.1%的后评估（评估后）在第一周期的临床记录中记录了AEC评分，在第二周期分别改善至100%和94.6%。评估后AEC评分为3分及以上的高评分从第一周期的15.8%降至第二周期的5.4%。学员的反馈意见表明，这是一次丰富的教育经历。使用AEC量表，研究结果支持全面识别和评估老年神经认知障碍患者抗胆碱能负担的可行性。
Anticholinergic burden refers to the cumulative effects of taking multiple medications with anticholinergic effects. This study was carried out in a public hospital in Singapore, aimed to improve and achieve a 100% comprehensive identification and review of measured, anticholinergic burden in a geriatric psychiatry liaison service to geriatric wards. We evaluated changes in pre-to post-assessment anticholinergic burden scores and trainee feedback. Plan Do Study Act methodology was employed, and Anticholinergic Effect on Cognition scale (AEC) was implemented as the study intervention. A survey instrument evaluated trainee feedback. There was no measured anticholinergic burden in a baseline of 170 assessments. 75 liaison psychiatry assessments were conducted between June and November 2021 in two cycles. 94.7% of pre-assessments (at the time of assessment) and 71.1% of post-assessments (following assessment) had a record of AEC scores in clinical documentation in cycle one, improving in the second cycle to 100%, 94.6%, respectively. A high post-assessment AEC score of 3 and over reduced from 15.8% in cycle one to 5.4% in cycle two. The trainee feedback suggested an enriching educational experience. Using the AEC scale, the findings support the feasibility of comprehensive identification and review of measured anticholinergic burden in older people with neurocognitive disorders.
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影响因子：
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作者：
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