Peer-Reviewed Journal Details
Mandatory Fields
Rongen, S,Kramers, C,O'Mahony, D,Feuth, TB,Rikkert, MGMO,Ahmed, AIA
2016
February
International Journal Of Geriatric Psychiatry
Potentially inappropriate prescribing in older patients admitted to psychiatric hospital
Validated
Optional Fields
Older patients potentially inappropriate prescribing psychiatric hospital STOPP START criteria Beers criteria NURSING-HOME RESIDENTS STOPP SCREENING TOOL BEERS CRITERIA MEDICATION USE DRUG PRESCRIPTIONS EXPLICIT CRITERIA ELDERLY-PATIENTS ALERT DOCTORS PRIMARY-CARE POPULATION
31
137
145
ObjectivesThe objectives of this study are to determine the prevalence of potentially inappropriate prescribing including potentially inappropriate medications (PIMs) and potential prescription omissions (PPOs) and to assess related risk factors in older people with major psychiatric illness.MethodsThis was a cross-sectional study of older patients hospitalized in a psychiatric hospital (n=164; mean age 74.97.3years; 62% female). The primary endpoint was the prevalence of participants receiving PIMs and PPOs, which was assessed by using the Beers criteria 2012 and the screening tool of older person's potentially inappropriate prescriptions (STOPP) and screening tool of alert doctors to the right treatment (START) criteria. Univariate and multivariate logistic regression was used to assess significant risk factors for PIMs in this population.ResultsA total of 1269 drugs were prescribed to included patients (range: 0-19 drugs/day). PIMs were identified in 47% and 79% of participants, based on the Beers 2012 and STOPP criteria, respectively. Most PIMs (70%) concerned psychotropic drugs. The STOPP criteria identified more PIMs (331) than the Beers criteria 2012 (199). According to the START criteria, 59% of participants had PPOs. The number of prescribed medications was significantly associated with the occurrence of PIMs according to the Beers 2012 [OR 1.2 (95% CI 1.1-1.3)] and STOPP [OR 1.5 (95% CI 1.3-1.8)] criteria.ConclusionPotentially inappropriate prescribing, as identified by the Beers and STOPP/START criteria, is highly prevalent among older patients hospitalized with major psychiatric illness. However, the focus on psychotropic drugs prescription without taking into account the benefit of these drugs to individual patients may limit the application of the Beers and STOPP criteria in psychiatric hospitals. Copyright (c) 2015 John Wiley & Sons, Ltd.
10.1002/gps.4302
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