Identification and evaluation of potentially inappropriate medications (PIMs) in hospitalized geriatric patients using Beers criteria

Pattani, Danisha; Chandrasekhar, Dilip; Panakkal, Linu Mohan; Cholamugath, Shinu; Parambil, Jaffer Chalil; Sajid, Muhammed

doi:10.1515/jbcpp-2014-0054

Cited by 14 publications

(21 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The pharmacist investigator had worked together with the physicians for 5 years and this familiarity could explain the high rate of acceptance and correction of the PIMs identified in this study. The rate of PIMs identified in the present study (33.3%) was less than that reported in an Indian hospital for patients who had been prescribed at least one PIM (106/200; 53%) …”

Section: Discussioncontrasting

confidence: 85%

“…The rate of PIMs identified in the present study (33.3%) was less than that reported in an Indian hospital for patients who had been prescribed at least one PIM (106/200; 53%). 6 The effectiveness of interventions by clinical pharmacists to optimise prescribing has been reported previously. 7,8 In their study, Lipton and Bird assessed the effects of clinical pharmacists' consultations on drug regimens, adherence and healthcare services for discharged older people: pharmacists consulted with older people at discharge and continued the intervention for 3 months, communicating with physicians as needed.…”

Section: Discussionmentioning

confidence: 84%

See 1 more Smart Citation

Identification and acceptance of suggested therapeutic alternatives of potentially inappropriate medications amongst hospitalised geriatric patients in Iran

Abbasinazari

Tavana

2020

Pharmacy Practice and Res

View full text Add to dashboard Cite

The Beers Criteria (BC) are frequently used to identify potentially inappropriate medications (PIMs) in geriatric patients. There are limited reports from non‐Western countries documenting the rate of both PIM identification and acceptance of pharmacist‐suggested changes to medications in geriatric patients. This prospective interventional study identified PIMs using the BC in hospitalised geriatric patients in an Iranian hospital, and documented the rate of acceptance of alternative therapies suggested by a clinical pharmacist. All patients aged ≥65 years (n = 240) who were admitted to medical and surgical wards for ≥3 days were included in the study. PIMs were screened for on Day 2 of admission using 2015 BC and therapeutic alternatives were suggested if a PIM was identified. Whether the suggestions were accepted was determined on Day 3. At least one PIM was identified for 80 (33.3%) patients, with 95 PIMs reported overall. The most frequent PIMs recorded were pethidine (44.2%), alprazolam (8.4%) and metoclopramide (7.3%). Of the 95 interventions suggested, 87 (91.5%) were accepted by physicians. The identification of PIMs and provision of alternative treatment options by an experienced clinical pharmacist resulted in a high uptake of recommendations.

show abstract

Section: Discussioncontrasting

confidence: 85%

Section: Discussionmentioning

confidence: 84%

Identification and acceptance of suggested therapeutic alternatives of potentially inappropriate medications amongst hospitalised geriatric patients in Iran

Abbasinazari

Tavana

2020

Pharmacy Practice and Res

View full text Add to dashboard Cite

show abstract

“…24,25 Prevalence of PIM use among hospitalized older adults in the present study was found to be 32.14% which is higher than that reported in some prospective studies in India by Zaveri HG et al 23 (23.5%), Harugeri A et al 24 (23.5%), Kashyap M et al 26 (21%), Shah KN et al 27 (29.3%), Pradhan S et al 28 (21.86%) and Vishwas HN et al 29 (24.6%). While some prospective studies showed higher prevalence of PIM use [Danisha P et al 30 (53%) and Momin TG et al 31…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Potentially Inappropriate Medication Use and Risk of Adverse Drug Reactions in Hospitalized Older Adults: An Observational Study in a Tertiary Care Hospital

Rawat¹

2018

IJOPP

View full text Add to dashboard Cite

Background and Objectives: The older population are more vulnerable to inappropriate prescribing andrelated adverse events due altered physiology. The objectives of the present study were to determine the prevalence of potentially inappropriate medication use in hospitalized older adults and assess its relationship with adverse drug reactions.Method: This is a prospective, observational, study conducted in the medicine wards of Shri Mahant Indiresh Hospital, Dehradun, and Uttarakhand, India after obtaining approval of the Institutional Ethics Committee. A sample of 112 elderly patients (60 years and above) were included during the study period of 5 months. Inappropriate medications were identified by using 2015 updated Beers Criteria. Causality of the adverse events was assessed by Naranjo Adverse Drug Reaction Probability Scale. Results:It was found that at least one potentially inappropriate medication was received by 32.14% (36) patients. A total of 31 adverse drug reactions were observed in 30 patients. Of these, 13 (41.9%) were observed in 12 patients were due to inappropriate medications listed in 2015 updated Beers Criteria. No statistically significant association was found between adverse drug reactions and use of potentially inappropriate medications [χ 2 = 1.16, P = 0.281] [Odds ratio (OR): 1.61 {95% confidence interval (CI): 0.67:3.85} P = 0.283]. Clonidine, clonazepam and sliding scale use ofinsulin were found to be most common inappropriately prescribed medications. Conclusion:The study shows that there is high prevalence of potentially inappropriate prescribing and adverse drug reactions among the hospitalized older adults in medicine wards.

show abstract

“…Interestingly, all these criteria seem to be appropriate in countries worldwide. Several studies have already used and adapted Beers and STOPP for different settings, including Brazil . Furthermore, no list of PIMS for older adults has yet been developed in Brazil …”

Section: Discussionmentioning

confidence: 99%

Comparison of four criteria for potentially inappropriate medications in Brazilian community‐dwelling older adults

Novaes

Cruz

Lucchetti

et al. 2017

Geriatrics Gerontology Int

View full text Add to dashboard Cite

The present study found moderate-to-high levels of concordance among the four PIM criteria assessed, pointing to a consensus in this field. However, each criterion showed particular characteristics: the EU(7)-PIM criterion had higher sensitivity, the Taiwan criterion higher specificity, and the Beers and STOPP a more balanced profile. These results highlight that each criterion has its own characteristics, and should be used according to health providers' objectives. Geriatr Gerontol Int 2017; 17: 1628-1635.

show abstract

Identification and evaluation of potentially inappropriate medications (PIMs) in hospitalized geriatric patients using Beers criteria

Abstract: The study shows high prevalence of prescribing PIMs in hospitalized elderly patients; PIM also caused incidence of ADEs; and serious drug-drug interactions were scarce among the patients.

Cited by 14 publications

References 20 publications

Identification and acceptance of suggested therapeutic alternatives of potentially inappropriate medications amongst hospitalised geriatric patients in Iran

Identification and acceptance of suggested therapeutic alternatives of potentially inappropriate medications amongst hospitalised geriatric patients in Iran

Evaluation of Potentially Inappropriate Medication Use and Risk of Adverse Drug Reactions in Hospitalized Older Adults: An Observational Study in a Tertiary Care Hospital

Comparison of four criteria for potentially inappropriate medications in Brazilian community‐dwelling older adults

Contact Info

Product

Resources

About