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Do hospitalists overuse proton pump inhibitors? Data from a contemporary cohort
Author(s) -
Albugeaey Mohammed,
Alfaraj Naimah,
Garb Jane,
Seiler Adrianne,
Lagu Tara
Publication year - 2014
Publication title -
journal of hospital medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.128
H-Index - 65
eISSN - 1553-5606
pISSN - 1553-5592
DOI - 10.1002/jhm.2249
Subject(s) - medicine , cohort , medline , intensive care medicine , family medicine , emergency medicine , political science , law
Proton pump inhibitors (PPIs) are commonly used to treat acid-related disorders, but are associated with an increased risk of pneumonia and Clostridium difficile associated-diarrhea.1,2 Initiation of PPIs in hospitalized patients should therefore be limited to specific clinical situations, such as upper gastrointestinal bleeding or stress ulcer prophylaxis in the critically ill.3 Prior studies suggest significant overuse of PPIs in hospitalized patients exists,4–7 but these were published before the widespread implementation of local and national quality improvement efforts targeted at reducing PPI use in medical inpatients (e.g. Society of Hospital Medicine’s (SHM) “Choosing Wisely” list8). We aimed to determine the frequency of inappropriate use of PPIs in a contemporary cohort of hospitalized patients in a tertiary care academic medical center.