2015 Beers criteria medication review in assisted living facilities

Chun, Jessica C; Appel, Susan J.; Simmons, Steven J.

doi:10.1097/jxx.0000000000000082

Cited by 8 publications

(6 citation statements)

References 12 publications

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“…The characteristics of included studies are summarised in Table 1. A total of 37 studies used various versions of the Beers criteria, 8,13–48 19 studies used the Screening Tool of Older Person’s prescriptions (STOPP) criteria, 21,23,25,34,36,37,43,48–59 9 studies used the Screening to Alert to Right Treatment (START) criteria, 36,47–50,52,55,56,59 2 studies used the Meds 75+ Database, 60,…”

Section: Resultsmentioning

confidence: 99%

“…A total of 30 studies examined the association between inappropriate medications and falls (Table 2) [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][49][50][51][52][53][55][56][57]62,63 ; 18 studies used the Beer's criteria, 5 used the STOPP/START criteria, 5 used the STOPP, 2 used the EU (7)-PIM list, 2 used the Drug Burden Index, 1 used the PRISCUS list, and 1 used the Anticholinergic Drug Burden. Out of 30 studies, 21 showed a significant positive association between PIMs and risk of falls.…”

Section: Associations Of Pims and Ppos With Falls And Fracturesmentioning

confidence: 99%

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Inappropriate medications and physical function: a systematic review

Manias

Kabir

Maier

2021

Therapeutic Advances in Drug Safety

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Background and aims: Inappropriate medication prescription is highly prevalent in older adults and is associated with adverse health outcomes. The aim of this study was to examine the associations between potentially inappropriate medications (PIMS) and potential prescribing omissions with physical function in older adults situated in diverse environments. Methods: A systematic search was completed using the following databases: MEDLINE, CINAHL, PsycINFO, EMBASE and COCHRANE. Results were extracted from the included studies. Results: In total, 55 studies reported on 2,767,594 participants with a mean age of 77.1 years (63.5% women). Study designs comprised 26 retrospective cohort studies, 21 prospective cohort studies and 8 cross-sectional studies. Inappropriate medications in community and hospital settings were significantly associated with higher risk of falls (21 out of 30 studies), higher risk of fractures (7 out of 9 studies), impaired activities of daily living (ADL; 8 out of 10 studies) and impaired instrumental ADL (IADL) score (4 out of 6 studies). Five out of seven studies also showed that PIMs were associated with poorer physical performance comprising the Timed Up and Go test, walking speed, grip strength, time to functional recovery, functional independence and scale of functioning. Many medication classes were implicated as PIMs in falls, fractures and impairment in physical performance including antipsychotic, sedative, anti-anxiety, anticholinergic, antidiabetic, opioid and antihypertensive medications. For patients not receiving musculoskeletal medications, such as calcium, vitamin D and bisphosphonates, older adults were found to be at risk of a hospital admission for a fall or fracture. Conclusion: Inappropriate medication prescriptions are associated with impaired physical function across longitudinal and cross-sectional studies in older adults situated in diverse settings. It is important to support older people to reduce their use of inappropriate medications and prevent prescribing omissions. Plain language summary Inappropriate medications and physical function Background and aims: The use of inappropriate medications is very common in older adults and is associated with harmful health problems. The aim was to examine associations between potentially inappropriate medications and potential prescribing omissions with physical function in older adults situated in diverse environments. Methods: Library databases were examined for possible studies to include and a systematic search was completed. Relevant information was obtained from the included studies. Results: In total, 55 studies reported on 2,767,594 participants who were an average age of 77.1 years and about 6 out of 10 were women. A variety of different study designs were used. Inappropriate medication prescriptions in community and hospital settings were significantly associated with higher risk of falls (21 out of 30 studies), higher risk of fractures (7 out of 9 studies), problems with activities of daily living (ADL), such as eating, bathing, dressing, grooming, walking and toileting (8 out of 10 studies) and problems with instrumental ADL such as managing medications, house cleaning and shopping (4 out of 6 studies). Five out of seven studies also showed that inappropriate medications were associated with poorer physical performance involving the Timed Up and Go test, walking speed, grip strength, time to functional recovery, functional independence and scale of functioning. Many types of medication classes were shown to be associated with a risk of falls, fractures and problems with physical performance. Omitted medications were also associated with falls and fractures. Conclusion: Inappropriate medication prescriptions are associated with problems relating to physical function. It is important to support older people to reduce their use of inappropriate medications and prevent prescribing omissions.

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Section: Resultsmentioning

confidence: 99%

Section: Associations Of Pims and Ppos With Falls And Fracturesmentioning

confidence: 99%

Inappropriate medications and physical function: a systematic review

Manias

Kabir

Maier

2021

Therapeutic Advances in Drug Safety

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“…There are several definitions for inappropriate prescribing [26–31]. The American Geriatrics Society Beers Criteria [29] and Screening Tool of Older People’s Prescriptions (STOPP) [28] are well-known criteria that address multiple elements for reducing polypharmacy.…”

Section: Methodsmentioning

confidence: 99%

A nationwide survey of hospital pharmacist interventions to improve polypharmacy for patients with cancer in palliative care in Japan

Uchida

Suzuki

Sugawara

et al. 2019

J Pharm Health Care Sci

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Background There is no nationwide data on polypharmacy in palliative care in Japan. In this study, the research committee of the Japanese Society for Pharmaceutical Palliative Care and Sciences conducted an online survey on polypharmacy and inappropriate prescriptions involving its members who worked as hospital pharmacists. Methods The online questionnaire included questions about hospital pharmacist interventions for cancer patients who regularly used six or more drugs during a two-month period from October to November 2017. Results Of 2618 hospital pharmacists, 359 responded (13.7%). With regard to cancer patients receiving opioids, 40.9 and 22.3% of the respondents replied that percentages of patients prescribed six or more regular medications were “40–69%” and “70–99%,” respectively. Regarding patients on polypharmacy, 73.0% of the respondents reported a low or moderate rate of inappropriate prescriptions, with responses such as “long-term administration of irresponsible or aimless medications”, “adverse drug reactions,” and “duplication of the pharmacological effect”. Furthermore, 24.2, 46.8, and 23.4% of respondents replied that the rates of drug reduction due to pharmacist recommendations were “0”, “1–39%”, and “more than 40%,” respectively. Pharmacist interventions decreased the use of inappropriate medications, including antiemetics, gastrointestinal medications, and hypnotic sedatives, and reduced or prevented adverse drug reactions such as extrapyramidal symptoms, delirium, and sleepiness. Similar results were obtained for cancer patients who did not use opioids. However, the rates of cancer patients on polypharmacy and with reduction of inappropriate medications by pharmacist interventions were significantly higher in cancer patients receiving opioids. Finally, recommendations of board-certified pharmacists in palliative pharmacy contributed to a decrease in the use of inappropriate medications in cancer patients on polypharmacy ( p = 0.06). Conclusion This nationwide survey clarified pharmacist interventions for polypharmacy in palliative care in Japan. Our data showed frequent polypharmacy in cancer patients receiving opioids, and benefits of pharmacist interventions, especially by board-certified pharmacists in palliative pharmacy, for reducing inappropriate medications and improving adverse drug reactions. Trial registration The study approval numbers in the institution; 0046. Registered November 6, 2017. Electronic supplementary material The online version of this article (10.1186/s40780-019-0143-5) contains supplementary material, which is available to authorized users.

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“…In a retrospective study examining the records of 95 elderly people in two assisted living facilities in the USA, 22 the rate of PIM use was found to be 60% according to the 2015 Beers Criteria. The most common PIM was central nervous system agents in that study.…”

Section: Discussionmentioning

confidence: 99%

Medication Errors and Potentially Inappropriate Medication Use in Elderly Patients Admitted to the General Internal Medicine Outpatient Clinic of a University Hospital

PESEN

Demircan

Sığırlı

2022

Turkish Journal of Internal Medicine

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BackgroundThe frequency of chronic diseases, number of drugs used, and number of medication errors have increased in the elderly. In this study, we aimed to determine the prevalence of potentially inappropriate medication (PIM) use and medication errors in elderly patients admitted to a university hospital and to identify the influencing factors. Material and MethodsIn this prospective cross-sectional study, the patients' characteristics, drug use patterns, and medication errors in the previous month were recorded in detail. Following this, PIM use was assessed according to the 2015 Beers Criteria. Results A total of 721 elderlay patients (60.9% female and 39.1% male) were included in this study. The mean number of drugs used by the patients per day was 4.6±2.8 and the rate of polypharmacy was 49.4%. The rate of medication errors was 54.2%, that of PIM use was 30.1%, and that of adverse drug reactions was 22.5%; these rates were higher in patients with polypharmacy. The most common medication error, PIM use, and adverse drug reaction were the omission of a daily dose (36.5%), inappropriate use of proton pump inhibitors (10%), and gastrointestinal system-related symptoms (7.7%), respectively. Diabetes mellitus and depression were found to be independent factors associated with medication errors. Conclusions In the present study, patient-related medication errors, PIM use, and adverse drug reactions were more frequently observed in elderly patients with polypharmacy. In addition, medication errors were more commonly observed in elderly with diabetes mellitus and depression.

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2015 Beers criteria medication review in assisted living facilities

Cited by 8 publications

References 12 publications

Inappropriate medications and physical function: a systematic review

Inappropriate medications and physical function: a systematic review

A nationwide survey of hospital pharmacist interventions to improve polypharmacy for patients with cancer in palliative care in Japan

Medication Errors and Potentially Inappropriate Medication Use in Elderly Patients Admitted to the General Internal Medicine Outpatient Clinic of a University Hospital

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