Detection of Potentially Inappropriate Medications in admitted patients in a tertiary hospital.
Background/Objectives: To determine the prevalence of potentially inappropriate medications (PIM) identified using the STOPP/START, Beers and PRISCUS criteria; and to determine the clinical variables related to the prescription of PIMs in older adults.
Design: Retrospective cross-sectional study.
Setting: Internal medicine/Geriatrics.
Participants: All patients over 65 years discharged from the Internal Medicine Service of La Princesa hospital during February 2014.
Measurements: Inappropriate prescriptions were detected with CheckTheMedsÂ® computer tool.
Results The study included 143 participants, mean age 87Â±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%.
Conclusions: An association between PIM prescribing and polypharmacy was detected with different criteria. CheckTheMedsÂ® is a useful tool to improve detection and management of PIM in order to obtain evidence-based pharmacological treatment.
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