A Prospective Audit Investigating How the Anticholinergic Effect of Medications on Cognition Is Assessed and Reduced in Patients Admitted to an Older Adult Ward in a Psychiatric Hospital
Aims: Older adults often have multiple comorbidities associated with an increased risk of anticholinergic effects. Mental health medications increase this risk, contributing to cognitive decline, dementia, memory loss and confusion. Evidence suggests stopping these medications can reduce cognitive d...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2025-06-01
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| Series: | BJPsych Open |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472425106303/type/journal_article |
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| author | Dinushi Marambe Prami Rai |
| author_facet | Dinushi Marambe Prami Rai |
| author_sort | Dinushi Marambe |
| collection | DOAJ |
| description | Aims: Older adults often have multiple comorbidities associated with an increased risk of anticholinergic effects. Mental health medications increase this risk, contributing to cognitive decline, dementia, memory loss and confusion. Evidence suggests stopping these medications can reduce cognitive deterioration and progression of dementia. MediChec is an online tool that calculates an Anticholinergic Effect on Cognition (AEC) score. An AEC score above 2 and a total AEC score above 3 require a medication review for potential adjustment or deprescribing. This audit aims to determine whether the AEC scores were recorded at admission, during admission, and at discharge. Additionally, it assesses if further actions were taken to deprescribe unsuitable anticholinergics, resulting in a lower AEC score before discharge. |
| format | Article |
| id | doaj-art-983b94d990c64d9e9068bbcd0c6fadd0 |
| institution | Kabale University |
| issn | 2056-4724 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj-art-983b94d990c64d9e9068bbcd0c6fadd02025-08-20T03:32:54ZengCambridge University PressBJPsych Open2056-47242025-06-0111S255S25610.1192/bjo.2025.10630A Prospective Audit Investigating How the Anticholinergic Effect of Medications on Cognition Is Assessed and Reduced in Patients Admitted to an Older Adult Ward in a Psychiatric HospitalDinushi Marambe0Prami Rai1Kent and Medway NHS and Social Care Partnership Trust, Canterbury, United KingdomKent and Medway NHS and Social Care Partnership Trust, Canterbury, United KingdomAims: Older adults often have multiple comorbidities associated with an increased risk of anticholinergic effects. Mental health medications increase this risk, contributing to cognitive decline, dementia, memory loss and confusion. Evidence suggests stopping these medications can reduce cognitive deterioration and progression of dementia. MediChec is an online tool that calculates an Anticholinergic Effect on Cognition (AEC) score. An AEC score above 2 and a total AEC score above 3 require a medication review for potential adjustment or deprescribing. This audit aims to determine whether the AEC scores were recorded at admission, during admission, and at discharge. Additionally, it assesses if further actions were taken to deprescribe unsuitable anticholinergics, resulting in a lower AEC score before discharge.https://www.cambridge.org/core/product/identifier/S2056472425106303/type/journal_article |
| spellingShingle | Dinushi Marambe Prami Rai A Prospective Audit Investigating How the Anticholinergic Effect of Medications on Cognition Is Assessed and Reduced in Patients Admitted to an Older Adult Ward in a Psychiatric Hospital BJPsych Open |
| title | A Prospective Audit Investigating How the Anticholinergic Effect of Medications on Cognition Is Assessed and Reduced in Patients Admitted to an Older Adult Ward in a Psychiatric Hospital |
| title_full | A Prospective Audit Investigating How the Anticholinergic Effect of Medications on Cognition Is Assessed and Reduced in Patients Admitted to an Older Adult Ward in a Psychiatric Hospital |
| title_fullStr | A Prospective Audit Investigating How the Anticholinergic Effect of Medications on Cognition Is Assessed and Reduced in Patients Admitted to an Older Adult Ward in a Psychiatric Hospital |
| title_full_unstemmed | A Prospective Audit Investigating How the Anticholinergic Effect of Medications on Cognition Is Assessed and Reduced in Patients Admitted to an Older Adult Ward in a Psychiatric Hospital |
| title_short | A Prospective Audit Investigating How the Anticholinergic Effect of Medications on Cognition Is Assessed and Reduced in Patients Admitted to an Older Adult Ward in a Psychiatric Hospital |
| title_sort | prospective audit investigating how the anticholinergic effect of medications on cognition is assessed and reduced in patients admitted to an older adult ward in a psychiatric hospital |
| url | https://www.cambridge.org/core/product/identifier/S2056472425106303/type/journal_article |
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