Conference Coverage

Unneeded meds at discharge could cause harm


 

FROM CHEST 2020

COPD patients overprescribed home oxygen

In addition to medications, home oxygen therapy is often prescribed when patients are discharged from the hospital.

A study of 69 patients who were continued on home oxygen therapy after hospitalization for an exacerbation of chronic obstructive pulmonary disease was presented by Analisa Taylor, MD, from the University of Illinois at Chicago.

Despite guideline recommendations that patients be reassessed within 90 days of discharge, only 38 patients in the cohort were reassessed, and “28 were considered eligible for discontinuation,” she said during her presentation.

However, “of those, only four were ultimately discontinued,” she reported.

The reason for this gap needs to be examined, noted Dr. Taylor, suggesting that “perhaps clinical inertia plays a role in the continuation of previously prescribed therapy despite a lack of ongoing clinical benefit.”

A version of this article originally appeared on Medscape.com.

Pages

Recommended Reading

COVID-19 at home: What does optimal care look like?
Journal of Clinical Outcomes Management
NYC public hospitals rose to the demands of the COVID-19 crisis
Journal of Clinical Outcomes Management
AI can pinpoint COVID-19 from chest x-rays
Journal of Clinical Outcomes Management
Distinguishing COVID-19 from flu in kids remains challenging
Journal of Clinical Outcomes Management
Low vitamin D in COVID-19 predicts ICU admission, poor survival
Journal of Clinical Outcomes Management
Systemic Corticosteroids in Critically Ill Patients With COVID-19
Journal of Clinical Outcomes Management
COVID-19 Screening and Testing Among Patients With Neurologic Dysfunction: The Neuro-COVID-19 Time-out Process and Checklist
Journal of Clinical Outcomes Management
Link between vitamin D and ICU outcomes unclear
Journal of Clinical Outcomes Management
COVID-19 experience forced residents to quickly improve patient communication skills
Journal of Clinical Outcomes Management
Certain statins linked to lower mortality risk in patients admitted for sepsis
Journal of Clinical Outcomes Management