Characteristics of potentially inappropriate prescribing of drugs in elderly polypathological patients

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 AC...

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Detalles Bibliográficos
Autores: Rivas-Cobas, PC, Ramirez-Duque, N, Hernandez, MG, Garcia, J, Agusti, A, Vidal, X, Formiga, F, Lopez-Soto, A, Torres, OH, San-Jose, A
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:España
Institución:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositorio:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p14201
Acceso en línea:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=14201
Access Level:acceso abierto
Palabra clave:Polypathology
Potentially inappropriate prescribing
Inappropriate prescription
Adequacy
Multimorbidity
Elderly
Polypharmacy
Descripción
Sumario: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. (C) 2016 SESPAS. Published by Elsevier Espaiia, S.L.U.

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