Potentially inappropriate medications and potential prescribing omissions. Identification and relevance.
Introduction: Europe presents 19% of the population aged 65 or over (elderly), who are especially susceptible to inadequate prescriptions (potentially inappropriate medications (PIM) and potential prescribing omissions (PPO)), identified by the STOPP and START criteria. This study has as main object...
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Sociedade Galega de Medicina Interna
2020-04-01
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doaj-15e251cd8eb14cc69f9da81b8ee2a4f12020-11-25T03:27:09ZengSociedade Galega de Medicina InternaGalicia Clínica0304-48661989-39222020-04-01812323810.22546/56/19571957Potentially inappropriate medications and potential prescribing omissions. Identification and relevance.Soraia Azevedo0Rosana Maia1Emília Guerreiro2ULSAM - Ponte de LimaULSAM - Viana do CasteloULSAM - Viana do CasteloIntroduction: Europe presents 19% of the population aged 65 or over (elderly), who are especially susceptible to inadequate prescriptions (potentially inappropriate medications (PIM) and potential prescribing omissions (PPO)), identified by the STOPP and START criteria. This study has as main objectives the identification of PIM and PPO and associated factors. Material and Methods: This is a cross sectional study, using a sample of 254 elderly individuals from the Internal Medicine Service. Results: 81.9% of patients are polymedicated, 72.4% have at least one PIM and 57.5% have at least one PPO. The most frequently identified PIM was benzodiazepine and PPO was the anti-pneumococcal vaccine. There was a direct correlation between the number of PIM and chronic medication (r(254)=0.348, p<0.001) and inverse with the Katz scale (dependence) (r(254)=-0.324, p<0.001). In the cases of the domicile it was verified association between PIM and the days of internment (U=3653, p=0.025). PIM were associated with death in less than 6 months after discharge (U=3396, p=0.007) and the presence of intercurrences at admission (U=5766, p=0.005). There is a relationship between the number of co-morbidities and having at least one PIM (U=5378, p=0.041) or at least one PPO (U=6271, p=0.005). Diabetes mellitus (DM) type 2, neurological and psychiatric disease are associated with PIM, while obesity, DM type 2, arterial hypertension, dyslipidemia and cardiac pathology with PPO. Discussion and Conclusion: In a population that is older each year, with more comorbidities and more polymedicated, PIM and PPO are increasingly relevant.https://galiciaclinica.info/publicacion.asp?f=1957stopp start criteriapolypharmacypotentially inappropriate medication lis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Soraia Azevedo Rosana Maia Emília Guerreiro |
spellingShingle |
Soraia Azevedo Rosana Maia Emília Guerreiro Potentially inappropriate medications and potential prescribing omissions. Identification and relevance. Galicia Clínica stopp start criteria polypharmacy potentially inappropriate medication lis |
author_facet |
Soraia Azevedo Rosana Maia Emília Guerreiro |
author_sort |
Soraia Azevedo |
title |
Potentially inappropriate medications and potential prescribing omissions. Identification and relevance. |
title_short |
Potentially inappropriate medications and potential prescribing omissions. Identification and relevance. |
title_full |
Potentially inappropriate medications and potential prescribing omissions. Identification and relevance. |
title_fullStr |
Potentially inappropriate medications and potential prescribing omissions. Identification and relevance. |
title_full_unstemmed |
Potentially inappropriate medications and potential prescribing omissions. Identification and relevance. |
title_sort |
potentially inappropriate medications and potential prescribing omissions. identification and relevance. |
publisher |
Sociedade Galega de Medicina Interna |
series |
Galicia Clínica |
issn |
0304-4866 1989-3922 |
publishDate |
2020-04-01 |
description |
Introduction: Europe presents 19% of the population aged 65 or over (elderly), who are especially susceptible to inadequate prescriptions (potentially inappropriate medications (PIM) and potential prescribing omissions (PPO)), identified by the STOPP and START criteria. This study has as main objectives the identification of PIM and PPO and associated factors. Material and Methods: This is a cross sectional study, using a sample of 254 elderly individuals from the Internal Medicine Service. Results: 81.9% of patients are polymedicated, 72.4% have at least one PIM and 57.5% have at least one PPO. The most frequently identified PIM was benzodiazepine and PPO was the anti-pneumococcal vaccine. There was a direct correlation between the number of PIM and chronic medication (r(254)=0.348, p<0.001) and inverse with the Katz scale (dependence) (r(254)=-0.324, p<0.001). In the cases of the domicile it was verified association between PIM and the days of internment (U=3653, p=0.025). PIM were associated with death in less than 6 months after discharge (U=3396, p=0.007) and the presence of intercurrences at admission (U=5766, p=0.005). There is a relationship between the number of co-morbidities and having at least one PIM (U=5378, p=0.041) or at least one PPO (U=6271, p=0.005). Diabetes mellitus (DM) type 2, neurological and psychiatric disease are associated with PIM, while obesity, DM type 2, arterial hypertension, dyslipidemia and cardiac pathology with PPO. Discussion and Conclusion: In a population that is older each year, with more comorbidities and more polymedicated, PIM and PPO are increasingly relevant. |
topic |
stopp start criteria polypharmacy potentially inappropriate medication lis |
url |
https://galiciaclinica.info/publicacion.asp?f=1957 |
work_keys_str_mv |
AT soraiaazevedo potentiallyinappropriatemedicationsandpotentialprescribingomissionsidentificationandrelevance AT rosanamaia potentiallyinappropriatemedicationsandpotentialprescribingomissionsidentificationandrelevance AT emiliaguerreiro potentiallyinappropriatemedicationsandpotentialprescribingomissionsidentificationandrelevance |
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