Identification of inappropriate prescribing in a Brazilian nursing home using STOPP/START screening tools and the Beers' Criteria
The objective of this study was to determine the prevalence of Potentially Inappropriate Medication (PIM) use and associated factors, as well as the prevalence of Prescribing Omissions (PO). A cross-sectional study was conducted in a philanthropic Brazilian nursing home involving 46 individuals aged...
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2014-12-01
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doaj-715b2a32ded84764b25a98ff1f805b702020-11-25T01:20:28ZengUniversidade de São PauloBrazilian Journal of Pharmaceutical Sciences2175-97902014-12-0150491191810.1590/S1984-82502014000400027S1984-82502014000400911Identification of inappropriate prescribing in a Brazilian nursing home using STOPP/START screening tools and the Beers' CriteriaMariana Martins Gonzaga NascimentoAndréia Queiroz RibeiroMariana Linhares PereiraAdriana Cristina SoaresAntônio Ignácio de Loyola FilhoCarlos Alan Candido Dias-JuniorThe objective of this study was to determine the prevalence of Potentially Inappropriate Medication (PIM) use and associated factors, as well as the prevalence of Prescribing Omissions (PO). A cross-sectional study was conducted in a philanthropic Brazilian nursing home involving 46 individuals aged 60 years or older. The following information was collected from medical records and drug prescriptions: gender, age, health conditions and drugs used in the past thirty days. PIM and PO were identified according to the Beers' Criteria and the STOPP/START screening tools. Over one third (37%) of the population used at least one PIM according to the Beers' Criteria (n=17) and 60.9% according to the STOPP tool. A significant association was found between polypharmacy (use of five or more drugs) and use of PIM according to the Beers' Criteria, but not according to the STOPP. Eight residents (17.4%) were exposed to eight PO. This study allowed the diagnosis of a concerning drug utilization profile with use of a high number of PIMs. Thus, there is an evident need to implement strategies for improving geriatric prescription.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502014000400911&lng=en&tlng=enFarmacoepidemiologiaAtenção farmacêuticaIdoso/uso inapropriado de medicamentosMedicamentos/prescrição inadequadaMedicamentos/uso inapropriadoCritério de Beers |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mariana Martins Gonzaga Nascimento Andréia Queiroz Ribeiro Mariana Linhares Pereira Adriana Cristina Soares Antônio Ignácio de Loyola Filho Carlos Alan Candido Dias-Junior |
spellingShingle |
Mariana Martins Gonzaga Nascimento Andréia Queiroz Ribeiro Mariana Linhares Pereira Adriana Cristina Soares Antônio Ignácio de Loyola Filho Carlos Alan Candido Dias-Junior Identification of inappropriate prescribing in a Brazilian nursing home using STOPP/START screening tools and the Beers' Criteria Brazilian Journal of Pharmaceutical Sciences Farmacoepidemiologia Atenção farmacêutica Idoso/uso inapropriado de medicamentos Medicamentos/prescrição inadequada Medicamentos/uso inapropriado Critério de Beers |
author_facet |
Mariana Martins Gonzaga Nascimento Andréia Queiroz Ribeiro Mariana Linhares Pereira Adriana Cristina Soares Antônio Ignácio de Loyola Filho Carlos Alan Candido Dias-Junior |
author_sort |
Mariana Martins Gonzaga Nascimento |
title |
Identification of inappropriate prescribing in a Brazilian nursing home using STOPP/START screening tools and the Beers' Criteria |
title_short |
Identification of inappropriate prescribing in a Brazilian nursing home using STOPP/START screening tools and the Beers' Criteria |
title_full |
Identification of inappropriate prescribing in a Brazilian nursing home using STOPP/START screening tools and the Beers' Criteria |
title_fullStr |
Identification of inappropriate prescribing in a Brazilian nursing home using STOPP/START screening tools and the Beers' Criteria |
title_full_unstemmed |
Identification of inappropriate prescribing in a Brazilian nursing home using STOPP/START screening tools and the Beers' Criteria |
title_sort |
identification of inappropriate prescribing in a brazilian nursing home using stopp/start screening tools and the beers' criteria |
publisher |
Universidade de São Paulo |
series |
Brazilian Journal of Pharmaceutical Sciences |
issn |
2175-9790 |
publishDate |
2014-12-01 |
description |
The objective of this study was to determine the prevalence of Potentially Inappropriate Medication (PIM) use and associated factors, as well as the prevalence of Prescribing Omissions (PO). A cross-sectional study was conducted in a philanthropic Brazilian nursing home involving 46 individuals aged 60 years or older. The following information was collected from medical records and drug prescriptions: gender, age, health conditions and drugs used in the past thirty days. PIM and PO were identified according to the Beers' Criteria and the STOPP/START screening tools. Over one third (37%) of the population used at least one PIM according to the Beers' Criteria (n=17) and 60.9% according to the STOPP tool. A significant association was found between polypharmacy (use of five or more drugs) and use of PIM according to the Beers' Criteria, but not according to the STOPP. Eight residents (17.4%) were exposed to eight PO. This study allowed the diagnosis of a concerning drug utilization profile with use of a high number of PIMs. Thus, there is an evident need to implement strategies for improving geriatric prescription. |
topic |
Farmacoepidemiologia Atenção farmacêutica Idoso/uso inapropriado de medicamentos Medicamentos/prescrição inadequada Medicamentos/uso inapropriado Critério de Beers |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502014000400911&lng=en&tlng=en |
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