Proportion of admissions related to Adverse Drug Events

13%

22%

65%

Definite

Contributing

Not related

Medication review using the ‘pill pruner’

`Pill pruner’

• Diuretics (Loop, thiazides)• Vasodilators (calcium antagonists, α-blockers)• Anti-platelet• CNS medications (TCA, benzo,antipsychotics, SSRI)• Anticholinergics• Antihistamines• NSAIDS• Proton pump inhibitors

Frequency of drugs stopped/ reduced

• Cardiovascular drugs– Vasodilators & β blockers 66– Diuretics (loop, thiazides) 57– Antiplatelets & anticoagulant 50– ACEI 32– Statins 30

• CNS medications 36• Proton pump inhibitor 16• Others (e.g. laxatives, analgesics, Ca ) 182