TY - JOUR
T1 - Characteristics of potentially inappropriate prescribing of drugs in elderly polypathological patients
AU - Rivas-Cobas, Paula Carlota
AU - Ramírez-Duque, Nieves
AU - Gómez Hernández, Mercedes
AU - García, Juana
AU - Agustí, Antonia
AU - Vidal, Xavier
AU - Formiga, Francesc
AU - López-Soto, Alfonso
AU - Torres, Olga H.
AU - San-José, Antonio
PY - 2017/7/1
Y1 - 2017/7/1
N2 - © 2016 SESPAS Objective To analyse potentially inappropriate prescribing (PIP) in elderly polypathological patients (PP). Method Multicentre observational, prospective study of 672 patients aged 75 years and older hospitalised in Internal Medicine between April 2011 and March 2012. The Beers, STOPP-START and ACOVE criteria were used to detect potentially inappropriate prescribing and the results of PP and non-PP patients were compared. Results Of the 672 patients included, 419 (62%) were polypathological, of which 89.3% met PIP criteria versus 79.4% of non-polypathological patients (p <0.01). 40.3% of polypathological patients met at least one Beers criteria, 62.8% at least one STOPP criteria, 62.3% at least one START criteria and 65.6% at least one ACOVE criteria. The rate of potentially inappropriate prescribing was higher in polypathological patients regardless of the tool used. Conclusions Given the high rate of potentially inappropriate prescribing in polypathological patients, strategies to improve prescribing adequacy must be developed.
AB - © 2016 SESPAS Objective To analyse potentially inappropriate prescribing (PIP) in elderly polypathological patients (PP). Method Multicentre observational, prospective study of 672 patients aged 75 years and older hospitalised in Internal Medicine between April 2011 and March 2012. The Beers, STOPP-START and ACOVE criteria were used to detect potentially inappropriate prescribing and the results of PP and non-PP patients were compared. Results Of the 672 patients included, 419 (62%) were polypathological, of which 89.3% met PIP criteria versus 79.4% of non-polypathological patients (p <0.01). 40.3% of polypathological patients met at least one Beers criteria, 62.8% at least one STOPP criteria, 62.3% at least one START criteria and 65.6% at least one ACOVE criteria. The rate of potentially inappropriate prescribing was higher in polypathological patients regardless of the tool used. Conclusions Given the high rate of potentially inappropriate prescribing in polypathological patients, strategies to improve prescribing adequacy must be developed.
KW - Adequacy
KW - Elderly
KW - Inappropriate prescription
KW - Multimorbidity
KW - Polypathology
KW - Polypharmacy
KW - Potentially inappropriate prescribing
U2 - 10.1016/j.gaceta.2016.06.013
DO - 10.1016/j.gaceta.2016.06.013
M3 - Article
SN - 0213-9111
VL - 31
SP - 327
EP - 331
JO - Gaceta Sanitaria
JF - Gaceta Sanitaria
IS - 4
ER -