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386
Hospital Pharmacy 55(6)
Table 1. (continued)
Drug class
Psychoactive agents
Selective serotonin reuptake
inhibitors (SSRI)
Admission medication
Formulary agents available for
therapeutic substitution
citalopram
escitalopram
fluoxetine
paroxetine
fluvoxamine
sertraline
vilazodone
vortioxetine
citalopram
fluoxetine
paroxetine
sertraline
Serotonin/norepinephrine
reuptake inhibitors (SNRI)
desvenlafaxine
duloxetine
levomilnacipran
venlafaxine
duloxetine
venlafaxine
Tricyclic antidepressants
amitriptyline
clomipramine
doxepin
imipramine
trimipramine
desipramine
nortriptyline
amitriptyline
clomipramine
doxepin
nortriptyline
Antipsychotics
aripiprazole
asenapine
brexpiprazole
cariprazine
chlorpromazine
clozapine
loxapine
fluphenazine
haloperidol
iloperidone
lurasidone
olanzapine
paliperidone
perphenazine
pimozide
quetiapine
risperidone
thioridazine
thiothixene
ziprasidone
aripiprazole
chlorpromazine
haloperidol
lurasidone
olanzapine
pimozide
quetiapine
risperidone
ziprasidone
a
Preferred agent for therapeutic interchange, where applicable.
The 497 patients included in the cohort accounted for a
total of 3092 medications upon admission. Of these 3092
admission medications, 1072 were qualifying medications
and eligible for review. Cardiovascular agents made up the
largest proportion of qualifying medications (691 [64%]),
followed by gastrointestinal (147 [14%]), respiratory (129
[12%]), and psychotropic agents (105 [10%]).
medications were therapeutically interchanged after admission
and 234 (21.8%) underwent a medication change at discharge.
The occurrence of medication changes at discharge was significantly higher among therapeutically interchanged medications
(29.5%) compared with non-interchanged medications (19.8%)
(odds ratio [OR] = 1.7, 95% confidence interval [CI] = 1.222.37, P = .0021).
Primary Outcome
Secondary Outcome
A total of 1072 medications were reviewed. Following each
medication from admission to discharge, 227 (21.8%)
Each qualifying drug class was reviewed to determine the
types of discharge medication changes within each class and
Hospital Pharmacy - December 2020
Table of Contents for the Digital Edition of Hospital Pharmacy - December 2020
Drug Review Updated List of Light-Sensitive Oral Medications Scott Perkins, Adam Evans, and Allison King
Original Articles Prophylactic Enoxaparin Dosing in Obese Orthopedic Patients: A Literature Search Van N. Tran, Ilya Varfolomeev, and Geoff Hill
Significant Published Articles for Pharmacy Nutrition Support Practice in 2019 Roland N. Dickerson, Angela L. Bingham, Todd W. Canada, Lingtak N. Chan, M. Petrea Cober, Sarah V. Cogle, Anne M. Tucker, and Vanessa J. Kumpf
Effect of Therapeutic Interchange on Medication Changes Between Admission and Discharge Ryan A. Popp, Kathleen A. Lusk, Shelley S. Glaess, Donna Burkett, and Rebecca L. Attridge
Evaluating Six Commercially Available Closed-System Drug-Transfer Devices Against NIOSH’s 2015 Draft Vapor Protocol Shiraz Halloush, Ivan A. Reveles, and Jim Koeller
Adjusted vs Total Body Weight–Based Dosing of Sedation and Analgesia Used in the Intensive Care Unit Julianne Yeary, Alexandra Greco, Richard McKnight, Karen Petros, Gregory Schaefer, and Jeffrey Garavaglia
Medication Safety at Home: A Qualitative Study on Caregivers of Chronically Ill Children in Malaysia Chii-Chii Chew, Amar-Singh HSS, Huan-Keat Chan, and Mohamed Azmi Hassali
Hospital Pharmacy - December 2020 - Cover1
Hospital Pharmacy - December 2020 - Cover2
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Hospital Pharmacy - December 2020 - Drug Review Updated List of Light-Sensitive Oral Medications Scott Perkins, Adam Evans, and Allison King
Hospital Pharmacy - December 2020 - 350
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Hospital Pharmacy - December 2020 - 365
Hospital Pharmacy - December 2020 - Original Articles Prophylactic Enoxaparin Dosing in Obese Orthopedic Patients: A Literature Search Van N. Tran, Ilya Varfolomeev, and Geoff Hill
Hospital Pharmacy - December 2020 - 367
Hospital Pharmacy - December 2020 - 368
Hospital Pharmacy - December 2020 - 369
Hospital Pharmacy - December 2020 - 370
Hospital Pharmacy - December 2020 - 371
Hospital Pharmacy - December 2020 - 372
Hospital Pharmacy - December 2020 - Significant Published Articles for Pharmacy Nutrition Support Practice in 2019 Roland N. Dickerson, Angela L. Bingham, Todd W. Canada, Lingtak N. Chan, M. Petrea Cober, Sarah V. Cogle, Anne M. Tucker, and Vanessa J. Kumpf
Hospital Pharmacy - December 2020 - 374
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Hospital Pharmacy - December 2020 - 380
Hospital Pharmacy - December 2020 - 381
Hospital Pharmacy - December 2020 - Effect of Therapeutic Interchange on Medication Changes Between Admission and Discharge Ryan A. Popp, Kathleen A. Lusk, Shelley S. Glaess, Donna Burkett, and Rebecca L. Attridge
Hospital Pharmacy - December 2020 - 383
Hospital Pharmacy - December 2020 - 384
Hospital Pharmacy - December 2020 - 385
Hospital Pharmacy - December 2020 - 386
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Hospital Pharmacy - December 2020 - 389
Hospital Pharmacy - December 2020 - 390
Hospital Pharmacy - December 2020 - Evaluating Six Commercially Available Closed-System Drug-Transfer Devices Against NIOSH’s 2015 Draft Vapor Protocol Shiraz Halloush, Ivan A. Reveles, and Jim Koeller
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Hospital Pharmacy - December 2020 - Adjusted vs Total Body Weight–Based Dosing of Sedation and Analgesia Used in the Intensive Care Unit Julianne Yeary, Alexandra Greco, Richard McKnight, Karen Petros, Gregory Schaefer, and Jeffrey Garavaglia
Hospital Pharmacy - December 2020 - 401
Hospital Pharmacy - December 2020 - 402
Hospital Pharmacy - December 2020 - 403
Hospital Pharmacy - December 2020 - 404
Hospital Pharmacy - December 2020 - Medication Safety at Home: A Qualitative Study on Caregivers of Chronically Ill Children in Malaysia Chii-Chii Chew, Amar-Singh HSS, Huan-Keat Chan, and Mohamed Azmi Hassali
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Hospital Pharmacy - December 2020 - 407
Hospital Pharmacy - December 2020 - 408
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