Deprescribing for older adults during acute care admission: a scoping review protocol.

IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES JBI evidence synthesis Pub Date : 2024-07-15 DOI:10.11124/JBIES-23-00406

Erika Sprake, Janice Kung, Michelle Graham, Ross Tsuyuki, William Gibson

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Abstract

Objective: The objective of this scoping review is to understand the current body of knowledge regarding deprescribing in adults aged 60 and over in acute care settings, including the deprescribing activities that are being undertaken, and the feasibility, challenges, and outcomes of the practice.

Introduction: Polypharmacy is prevalent amongst older adults, despite risks to patients. Much of the existing research on deprescribing has occurred in the outpatient context, with recent research emerging on the unique opportunity that acute care may provide.

Inclusion criteria: This review will include deprescribing in adults aged 60 and older in acute care. It will consider deprescribing occurring during inpatient admission and at the time of discharge from hospital.

Methods: The JBI method for scoping reviews will guide this review. A search of MEDLINE (Ovid), Scopus, Web of Science, CINAHL (EBSCOhost), Embase (Ovid), and the Cochrane Database will be undertaken from inception to present with no language restrictions. Qualitative, quantitative, and mixed method studies, clinical practice guidelines, and opinion papers will be considered for inclusion. Systematic reviews and scoping reviews will be excluded. Google Scholar and a general Google search will be conducted for gray literature. Two reviewers will assess articles for inclusion and any disagreements will be discussed and resolved by discussion or a third reviewer, if required. Findings will be presented in the scoping review using a narrative approach with supporting quantitative data in a tabular format according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist (PRISMA-ScR).

Review registration: Open Science Framework https://osf.io/pb7aw/.

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急性病入院期间老年人的去处方化：范围界定审查协议。

目的本范围综述旨在了解当前有关急症护理环境中 60 岁及以上成年人去处方化的知识体系，包括正在开展的去处方化活动，以及该做法的可行性、挑战和结果：导言：尽管对患者存在风险，但在老年人中使用多种药物的情况十分普遍。有关去处方化的现有研究大多发生在门诊环境中，而最近的研究则是针对急症护理可能提供的独特机会：本综述将包括急症护理中 60 岁及以上成人的去处方治疗。纳入标准：本综述将包括接受急症护理的 60 岁及以上成年人的去处方化情况，并将考虑住院期间和出院时发生的去处方化情况：方法：采用 JBI 方法进行范围界定审查。方法：本综述将以 JBI 的范围综述方法为指导，检索 MEDLINE (Ovid)、Scopus、Web of Science、CINAHL (EBSCOhost)、Embase (Ovid) 和 Cochrane 数据库，检索时间从开始到现在，无语言限制。定性、定量和混合方法研究、临床实践指南和意见书都将考虑纳入。系统综述和范围界定综述将被排除在外。将通过 Google Scholar 和普通 Google 搜索灰色文献。两位审稿人将对纳入的文章进行评估，如有任何分歧，将通过讨论或第三位审稿人（如需要）来解决。研究结果将按照《系统综述和 Meta 分析的首选报告项目》（Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews）清单（PRISMA-ScR），以叙述的方式在范围界定综述中呈现，并以表格的形式提供支持性定量数据：开放科学框架 https://osf.io/pb7aw/。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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