Peer-Reviewed Journal Details
Mandatory Fields
Ryan, C;O'Mahony, D;Kennedy, J;Weedle, P;Cottrell, E;Heffernan, M;O'Mahony, B;Byrne, S
2013
January
Age and Ageing
Potentially inappropriate prescribing in older residents in Irish nursing homes
Validated
Optional Fields
STOPP SCREENING TOOL INTERRATER RELIABILITY PERSONS PRESCRIPTIONS BEERS CRITERIA ALERT DOCTORS PEOPLE RISK CARE
42
116
120
Methods: data were collected prospectively from seven publicly funded nursing homes within the Munster Region of Ireland over 3 weeks. Data recorded included: current medication, current medical conditions, previous medical conditions, biochemistry, sex and age. STOPP/START was applied to each patient record. Results: of the 313 patients recruited, 74.4% (233) were female, mean age (+/- SD) 84.4 (+/- 7.5) years. The total number of medicines prescribed was 2,555 [range: 1-16; median: 8 (IQR 6-10 )]. STOPP identified 329 instances of PIP in 187 (59.8%) patients and START identified 199 PPOs in 132 (42.2%) patients. The number of medicines prescribed was positively associated with PIP identified by STOPP (rs = 0.303, P < 0.01). Age, sex and the number of medicines prescribed were not associated with prescribing omissions using START. Conclusions: a high proportion of patients recruited were prescribed at least one potentially inappropriate medicine, or had an omission of a clinically indicated medicine. Incorporating these tools into every-day practice could play a pivotal role in improving prescribing in this cohort.
OXFORD
0002-0729
10.1093/ageing/afs068
Grant Details