{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T04:30:06Z","timestamp":1783744206305,"version":"3.55.0"},"reference-count":29,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Drug-related hospital admissions (DRAs) can account for 5%\u201340% of total hospital admissions in older adults, with a significant proportion deemed preventable. To increase the detection of DRAs, in 2021, a revised trigger tool listing 21 frequent causes of admissions and medications at risk was proposed. This study aimed to describe DRAs using this trigger tool in a French acute geriatric ward and to assess the performance of the tool.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This was a retrospective cohort study in a 20-bed geriatric unit including all patients hospitalised in 2023. During the first quarter of 2024, each patient\u2019s chart was adjudicated by using a two-step standardised review procedure to assess whether the admission was a DRA. The potentially at cause medications and reasons for admission were also assessed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>During the study period, 483 patients were hospitalised in the acute-care geriatric ward (mean age 86.7\u2009\u00b1\u20096.15\u00a0years). After adjudication, 207 admissions (43%) were identified as DRAs; 70% were considered preventable. The main causes of DRAs were falls\/fractures (33%), bleeding (23%) and delirium (14%). The drugs most frequently responsible were diuretics (21%), renin\u2013angiotensin system inhibitors (20%) and direct oral anticoagulants (15%). The overall sensitivity and specificity of the tool for detecting DRAs was 90% (95% CI 88\u201393) and 72% (68\u201376), respectively. After adjudication, the trigger tool helped detect 83% more DRAs as compared with the attending geriatrician.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>DRAs are frequent in a geriatric population and often preventable. Their detection may be improved by the use of a trigger tool.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ageing\/afae276","type":"journal-article","created":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T10:54:06Z","timestamp":1736333646000},"source":"Crossref","is-referenced-by-count":9,"title":["Use of a trigger tool to describe and screen drug-related hospital admissions in older adults: the TRIGGAge retrospective cohort study"],"prefix":"10.1093","volume":"54","author":[{"given":"Vincent","family":"Dauny","sequence":"first","affiliation":[{"name":"D\u00e9partement de G\u00e9riatrie, Sorbonne Universit\u00e9, Assistance Publique-H\u00f4pitaux de Paris (AP-HP), H\u00f4pital Piti\u00e9-Salp\u00eatri\u00e8re\u2014D\u00e9partement de G\u00e9riatrie , Paris ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alix","family":"Minaud","sequence":"additional","affiliation":[{"name":"D\u00e9partement de G\u00e9riatrie, Sorbonne Universit\u00e9, Assistance Publique-H\u00f4pitaux de Paris (AP-HP), H\u00f4pital Piti\u00e9-Salp\u00eatri\u00e8re\u2014D\u00e9partement de G\u00e9riatrie , Paris ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00e9a","family":"Boutitie","sequence":"additional","affiliation":[{"name":"D\u00e9partement de G\u00e9riatrie, Sorbonne Universit\u00e9, Assistance Publique-H\u00f4pitaux de Paris (AP-HP), H\u00f4pital Piti\u00e9-Salp\u00eatri\u00e8re\u2014D\u00e9partement de G\u00e9riatrie , Paris ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bastien","family":"Genet","sequence":"additional","affiliation":[{"name":"Sorbonne Universit\u00e9, INSERM, Institut Pierre Louis D'\u00c9pid\u00e9miologie et de Sant\u00e9 Publique, Assistance Publique-H\u00f4pitaux de Paris (AP-HP), H\u00f4pital Piti\u00e9-Salp\u00eatri\u00e8re , Paris ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacques","family":"Boddaert","sequence":"additional","affiliation":[{"name":"D\u00e9partement de G\u00e9riatrie, Sorbonne Universit\u00e9, Assistance Publique-H\u00f4pitaux de Paris (AP-HP), H\u00f4pital Piti\u00e9-Salp\u00eatri\u00e8re\u2014D\u00e9partement de G\u00e9riatrie , Paris ,","place":["France"]},{"name":"Sorbonne Universit\u00e9, INSERM, Institut Pierre Louis D'\u00c9pid\u00e9miologie et de Sant\u00e9 Publique, Assistance Publique-H\u00f4pitaux de Paris (AP-HP), H\u00f4pital Piti\u00e9-Salp\u00eatri\u00e8re , Paris ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorene","family":"Zerah","sequence":"additional","affiliation":[{"name":"D\u00e9partement de G\u00e9riatrie, Sorbonne Universit\u00e9, Assistance Publique-H\u00f4pitaux de Paris (AP-HP), H\u00f4pital Piti\u00e9-Salp\u00eatri\u00e8re\u2014D\u00e9partement de G\u00e9riatrie , Paris ,","place":["France"]},{"name":"Sorbonne Universit\u00e9, INSERM, Institut Pierre Louis D'\u00c9pid\u00e9miologie et de Sant\u00e9 Publique, Assistance Publique-H\u00f4pitaux de Paris (AP-HP), H\u00f4pital Piti\u00e9-Salp\u00eatri\u00e8re , Paris ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,1,8]]},"reference":[{"key":"2025030422414320600_ref1","doi-asserted-by":"publisher","article-title":"The Simpathy consortium. 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