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Article
Publication date: 16 September 2024

Moataz Jamil, Hala Sweed, Rania Abou-Hashem, Heba Shaltoot and Khalid Ali

Ageing is associated with multi-morbidity, polypharmacy and medication-related harm (MRH). There is limited published literature on MRH in older Egyptian adults. This study aims…

Abstract

Purpose

Ageing is associated with multi-morbidity, polypharmacy and medication-related harm (MRH). There is limited published literature on MRH in older Egyptian adults. This study aims to determine the incidence and risk factors associated with MRH in an Egyptian cohort of older patients in the 8-weeks period after hospital discharge.

Design/methodology/approach

This study recruited 400 Egyptian patients, aged = ≥ 60 years from 3 hospitals in Cairo and followed them up 8 weeks after discharge using a semi-structured telephone interview to verify MRH events (type, probability, severity and preventability) and related factors.

Findings

The participants’ ages ranged from 60 to 95 years with 53% females. In the final cohort of 325 patients analyzed, MRH occurred in 99 patients (incidence of 30.5%), of which 26 MRH cases (26.2%) were probable, serious and preventable. MRH included adverse drug reactions (ADRs), non-adherence and medication errors. Multivariate regression analysis showed that non-adherence and inappropriate prescription had highly significant association with MRH (P < 0.001), history of previous ADR, living alone and presence of paid caregiver had significant association (P 0.008, 0.012, 0.02 respectively), while age, medications number, length of stay (LOS) and cognitive impairment were not significantly associated with MRH.

Practical implications

These findings demonstrate the magnitude of MRH in Egypt affecting almost a third of older adults after leaving the hospital. These original data could guide decision-makers to enhance older patients’ medication safety through education, quality improvement and policy.

Originality/value

MRH in Egyptian older adults post-hospital discharge has not been adequately reported in scientific literature.

Details

Quality in Ageing and Older Adults, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1471-7794

Keywords

Book part
Publication date: 18 September 2024

Anukrati Sharma and Shruti Arora

Venue comes from the Latin word meaning ‘come’ (venire). Not only the event's location or venue affect attendance but it can also have an impact on the event's personality…

Abstract

Venue comes from the Latin word meaning ‘come’ (venire). Not only the event's location or venue affect attendance but it can also have an impact on the event's personality. Additionally, the location or venue affects the event's atmosphere and the visitor experience. The most significant benefit of revitalisation or adaptive reuse is its positive impact on the environment as razing buildings is a major source of waste and carbon emissions, by contrast, adaptive reuse reduces waste, saves energy and conserves resources. The persistence of this chapter is to investigate the challenges and opportunities in making adaptive re-use or revitalisation of heritage buildings that includes forts/palace/museums as a venue for any event. For the purpose of achieving the goal, secondary data from 2000 to 2023 have been compiled from more than 50 research articles that have been published in peer-reviewed and University Grant Commission (UGC) journals, books written by various authors, including the authors themselves, other researchers working in the related field of event management, conference proceedings and websites. The authors discovered from their examination of the literature that the significance of the event venue cannot be unheeded. The event's tone sets the stage for possible guest experience influences. One must carefully consider the kind of venues or settings that are available in the destination before conducting any event.

Details

The Emerald Handbook of Tourism Economics and Sustainable Development
Type: Book
ISBN: 978-1-83753-709-9

Keywords

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