Consumption of Inappropriate Psychotropic Drugs in Residential Homes for the Elderly: Comparative Study Between 2001 and 2006

Sicras‐Mainar, Antoni; Peláez-de-Loño, Jordi; Castellá-Rosales, Amparo; Rodríguez-Darriba, Merçé

doi:10.1016/s2173-5085(08)70033-9

Cited by 1 publication

(2 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The prevalence of using inadequate psychotropic drugs in the Spanish institutionalised population was 12.5%, with diazepam as one of the most often prescribed drugs. 32 Benzodiazepines use in older people was also one of the most common potential problems identified in many studies. 19 , 25 , 33 , 34 Psychotropic medication is extensively used in Australian nursing homes for indications other than schizophrenia.…”

Section: Discussionmentioning

confidence: 99%

Potentially inappropriate prescribing in institutionalised older patients in Spain: the STOPP-START criteria compared with the Beers criteria

Úbeda

Ferrándiz

Maicas

et al. 2012

Pharmacy Practice (Internet)

View full text Add to dashboard Cite

*Objective: The aims of this study were to identify potentially inappropriate prescribing using the Beers and STOPP criteria. The START criteria were applied to detect prescription omission in the geriatric population. We compared the utility of these criteria in institutionalised older people. Methods: Descriptive study reviewing the medication and clinical records of 81 residents (aged 65 years and more) by pharmacists in a nursing home in the Lleida region (Spain). Results: The mean patients' age was 84 (SD=8) years, with an average of 5 drugs per resident (total prescriptions: 416 medicines). The Beers criteria identified potentially inappropriate medication use in 25% of patients and 48% of patients used at least 1 inappropriate medication according to STOPP criteria. The most frequent potentially inappropriate medications for both criteria were long-acting benzodiazepines and NSAIDs. START detected 58 potential prescribing omissions in 44% of patients. Calcium-vitamin D supplementation in osteoporosis was the most frequent rule (15%), but omissions corresponding to the cardiovascular system implied 23% of patients. Conclusion:The STOPP-START criteria reveal that potentially inappropriate prescribing (PIP) is a highly prevalent problem among Spanish nursing home residents, and a statistically significant positive correlation was found between the number of medicines prescribed and the number of PIP detected in this study. The STOPP criteria detect a larger number of PI medications in this geriatric population than the Beers criteria. PRESCRIPCIÓN POTENCIALMENTE INAPROPIADA EN ANCIANOS INSTITUCIONALIZADOS EN ESPAÑA: LOS CRITERIOS STOPP-START COMPARADOS CON LOS CRITERIOS DE BEERS RESUMENObjetivo: Este estudio está orientado a identificar la prescripción potencialmente inapropiada usando los criterios de Beers y STOPP. Las omisiones de prescripciones se detectan en esta población geriátrica aplicando los criterios START. Se compara la utilidad de estos criterios en ancianos institucionalizados. Métodos: Estudio descriptivo de revisión de la medicación y las historias clínicas por farmacéuticos, de 81 pacientes (con 65 o más años) ingresados en una residencia en la provincia de Lleida (España). Resultados: La media de edad de los pacientes fue de 84 años (DE=8), con cinco medicamentos de promedio de tratamiento por residente (prescripciones totales: 416 medicamentos). Los criterios de Beers detectaron el uso de medicación potencialmente inapropiada en el 25% de los pacientes. Los criterios STOPP identificaron una posible medicación inapropiada en el 48% de los pacientes. La mayor frecuencia de uso de medicamentos potencialmente inapropiados para ambos criterios correspondió a las benzodiacepinas de larga duración y los AINE. Los criterios START detectaron 58 prescripciones potencialmente omitidas en el 44% de los pacientes. Entre ellas, la ausencia de suplementos de Calcio-vitamina D en osteoporosis fue la regla más frecuentemente implicada (15% de los pacientes); sin embargo, las omisiones relacionad...

show abstract

Section: Discussionmentioning

confidence: 99%

Potentially inappropriate prescribing in institutionalised older patients in Spain: the STOPP-START criteria compared with the Beers criteria

Úbeda

Ferrándiz

Maicas

et al. 2012

Pharmacy Practice (Internet)

View full text Add to dashboard Cite

show abstract

“…diazepam and other benzodiazepines), and when drugs are prescribed in combination with other drugs for the same disease 18 . However, the ATC/DDD methodology is used by an increasing number of researchers worldwide [21][22][23][24] .…”

Section: Methodology Of Drug Utilization Studiesmentioning

confidence: 99%