Characteristics of potentially inappropriate prescribing of drugs in elderly polypathological patients

To analyse potentially inappropriate prescribing (PIP) in elderly polypathological patients (PP). 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 u...

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Detalles Bibliográficos
Autores: Rivas-Cobas, Paula Carolina, Ramírez-Duque, Nieves, Gómez Hernández, Mercedes, García, Juana, Agustí Escasany, M. Antònia|||0000-0003-4594-1122, Vidal Guitart, Xavier|||0000-0001-6705-4298, Formiga, Francesc|||0000-0002-3587-298X, López-Soto, Alfonso|||0000-0003-4297-3217, Torres Bonafonte, Olga H|||0000-0002-0305-8211, San-José, Antonio|||0000-0001-8198-6112
Tipo de recurso: artículo
Fecha de publicación:2017
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:español
OAI Identifier:oai:ddd.uab.cat:289275
Acceso en línea:https://ddd.uab.cat/record/289275
https://dx.doi.org/urn:doi:10.1016/j.gaceta.2016.06.013
Access Level:acceso abierto
Palabra clave:Adecuación
Adequacy
Edad avanzada
Elderly
Inappropriate prescription
Multimorbidity
Multimorbilidad
Pluripatología
Polifarmacia
Polypathology
Polypharmacy
Potentially inappropriate prescribing
Prescripción inapropiada
Uso inadecuado de medicamentos
Descripción
Sumario:To analyse potentially inappropriate prescribing (PIP) in elderly polypathological patients (PP). 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. 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. Given the high rate of potentially inappropriate prescribing in polypathological patients, strategies to improve prescribing adequacy must be developed.

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