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Prescribing cascades in older adults
Shelley A. Sternberg, Shiri Guy-Alfandary and Paula A. Rochon
CMAJ February 08, 2021 193 (6) E215; DOI: https://doi.org/10.1503/cmaj.201564
Shelley A. Sternberg
Maccabi Healthcare Services (Sternberg), Modiin, Israel; Maccabi Healthcare Services (Guy-Alfandary), Tel Aviv, Israel; Women’s College Hospital (Rochon), University of Toronto, Toronto, Ont.
MDShiri Guy-Alfandary
Maccabi Healthcare Services (Sternberg), Modiin, Israel; Maccabi Healthcare Services (Guy-Alfandary), Tel Aviv, Israel; Women’s College Hospital (Rochon), University of Toronto, Toronto, Ont.
PharmDPaula A. Rochon
Maccabi Healthcare Services (Sternberg), Modiin, Israel; Maccabi Healthcare Services (Guy-Alfandary), Tel Aviv, Israel; Women’s College Hospital (Rochon), University of Toronto, Toronto, Ont.
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- Sternberg, S. A., Guy-Alfandary, S., & Rochon, P. A. (2021). Cascade médicamenteuse chez la personne âgée. CMAJ, 193(16), E589. Accessed June 15, 2024. https://doi.org/10.1503/cmaj.201564-f.
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Prescribing cascades in older adults
Shelley A. Sternberg, Shiri Guy-Alfandary, Paula A. Rochon
CMAJ Feb 2021, 193 (6) E215; DOI: 10.1503/cmaj.201564
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- A prescribing cascade refers to the sequence of events in which an adverse drug event is misinterpreted as a new medical condition, leading to the addition of another, potentially avoidable, medication1
- Serious adverse events can result in admission to hospital
- Cascades contribute to inappropriate polypharmacy, particularly in older adults
- Cascades can be identified and inappropriate polypharmacy prevented1
- Consider deprescribing when a cascade is identified
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