Utility of a computer tool for detection of potentially inappropriate medications in older patients in a tertiary hospital.

IBJ Clinical Pharmacology

article

Abad-Santos¹  Valdez-Acosta¹  Sampedro²  Marcotegui³  González-Rojano¹ 

[1] Department of Clinical Pharmacology, Hospital Universitario de la Princesa, Teófilo Hernando Instituto, Universidad Autónoma de Madrid (UAM), Instituto de Investigación Sanitaria la Princesa;Department of Internal Medicine, Hospital Universitario de la Princesa;Department of Anesthesiology, Hospital Clínico San Carlos, Universidad Complutense de Madrid (UCM)

关键词: CheckTheMeds®;    Potentially Inappropriate Prescribing;    STOPP;    START;    Beers;    PRISCUS.;   

DOI  :  10.24217/2530-4984.20v1s1.00013

学科分类：社会科学、人文和艺术（综合）

来源: Iberoamerican Journals

【 摘 要 】

As we believe it is an important problem in our environment, we determined the prevalence of potentially inappropriate medications (PIM) using the STOPP/START, Beers and PRISCUS criteria, and also determined the clinical variables related to the prescription of PIMs in older adults. It is a retrospective cross-sectional study in Geriatrics. Participants were all patients over 65 years discharged from the Internal Medicine Service of La Princesa hospital during February 2014. We measured inappropriate prescriptions detected with CheckTheMeds® computer tool. The study included 143 participants, mean age 87±7 years. Using Beers criteria, 421 PIMs were identified in 114 patients, with STOPP criteria, 277 PIMs were identified in 111 patients, with START criteria 279 PIMs were identified in 113 patients and using PRISCUS 47 PIMs were identified in 42 patients. Correlation between STOPP and Beers was 70%. An association between PIM prescribing and polypharmacy was detected with different criteria. Check-TheMeds® is a useful tool to improve detection and management of PIM in order to obtain evidence-based pharmacological treatment.

【 授权许可】

CC BY-NC