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http://hdl.handle.net/2445/68493
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DC Field | Value | Language |
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dc.contributor.author | San José, Antonio | - |
dc.contributor.author | Agustí, Antonia | - |
dc.contributor.author | Vidal, Xavier | - |
dc.contributor.author | Formiga Pérez, Francesc | - |
dc.contributor.author | López-Soto, Alfonso | - |
dc.contributor.author | Fernández Moyano, Antonio | - |
dc.contributor.author | García, Juana | - |
dc.contributor.author | Ramírez Duque, Nieves | - |
dc.contributor.author | Torres, Olga H. | - |
dc.contributor.author | Barbé, José | - |
dc.date.accessioned | 2015-12-17T17:06:49Z | - |
dc.date.available | 2015-12-17T17:06:49Z | - |
dc.date.issued | 2014-08-29 | - |
dc.identifier.issn | 0953-6205 | - |
dc.identifier.uri | http://hdl.handle.net/2445/68493 | - |
dc.description.abstract | Purpose: This study aims to assess inappropriate prescribing (IP) to elderly patients during the month prior to hospitalization and to compare different IP criteria. Methods: An observational, prospective and multicentric study was carried out in the internal medicine services of seven Spanish hospitals. Patients aged 75 years and older were randomly selected after hospital admission for a year. To assess potentially inappropriate medicines (PIMs), the Beers and STOPP criteria were used and to assess Potentially Prescribing Omissions (PPOs), the START criteria and ACOVE-3 medicine quality indicators were used. An analysis to assess factors associated with IP was performed. Results: 672 patients [median age (Q1_Q3) 82 (79-86) years, 55.9% female] were included. Median prescribed medicines in the month prior to hospitalization were 10(Q1-Q3 7-13). The prevalence of IP was 87.6%, and 54.3% of patients had PIMs and PPOs concurrently. A higher prevalence rate of PIMs was predicted using the STOPP criteria than with the Beers criteria (p<.001) and a higher prevalence of PPOs using the ACOVE-3 criteria than using the START criteria (p<.001) was observed. Polypharmacy (≥10 medicines) was the strongest predictor of IP [OR=11.34 95% confidence interval (CI) 4.96-25.94], PIMs [OR=14.16, 95% CI 6.44-31.12], Beers-listed PIMs [OR=8.19, 95% CI 3.01-22.28] and STOPP-listed PIMs [OR=8.21, 95% CI 3.47-19.44]. PIMs was the strongest predictor of PPOs [OR=2.79, 95% CI 1.81-4.28]. Conclusions: A high prevalence of polypharmacy and PIMs and PPOs were reported. More than half the patients had simultaneous PIMs and PPOs. The related factors to PIMs and PPOs were different. | - |
dc.format.extent | 7 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Elsevier B.V. | - |
dc.relation.isformatof | Versió postprint del document publicat a: http://dx.doi.org/10.1016/j.ejim.2014.07.011 | - |
dc.relation.ispartof | European Journal Of Internal Medicine, 2014, vol. 25, num. 8, p. 710-716 | - |
dc.relation.uri | http://dx.doi.org/10.1016/j.ejim.2014.07.011 | - |
dc.rights | (c) Elsevier B.V., 2014 | - |
dc.source | Articles publicats en revistes (Patologia i Terapèutica Experimental) | - |
dc.subject.classification | Prescripció de medicaments | - |
dc.subject.classification | Malalties de les persones grans | - |
dc.subject.classification | Administració de medicaments | - |
dc.subject.other | Drug prescribing | - |
dc.subject.other | Older people diseases | - |
dc.subject.other | Administration of drugs | - |
dc.title | Inappropriate prescribing to older patients admitted to hospital: A comparison of different tools of misprescribing and underprescribing | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/acceptedVersion | - |
dc.identifier.idgrec | 648242 | - |
dc.date.updated | 2015-12-17T17:06:49Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
Appears in Collections: | Articles publicats en revistes (Patologia i Terapèutica Experimental) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
Files in This Item:
File | Description | Size | Format | |
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648242.pdf | 124.28 kB | Adobe PDF | View/Open |
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