Potentially inappropriate medication use in institutionalized older adults according to the Beers Criteria

Abstract

The need for specific care, coupled with new family arrangements, has contributed to the increasing institutionalization of elderly members. The purpose of this study was to evaluate drug use by institutionalized older adults according to Beers Criteria. This prospective, longitudinal study was conducted in the three non-profit long-stay geriatric care institutions of Campo Grande, in the Central-West region of Brazil. All subjects aged 60 years and above on November 2011 were included and followed until November 2012. Eighteen subjects were excluded and the final sample consisted of 133 individuals aged 60 to 113 years. Overall, 212 medications were used at geriatric care institution A, 532 at B, and 1329 at C. Thirty-four drugs were inappropriately prescribed 89 times at geriatric care institution A (41.98%), 49 prescribed 177 times at B (33.27%), and 91 prescribed 461 times at C (34.68%). Statistical differences in the inappropriate drug use were found between genders (p=0.007). The most commonly used potentially inappropriate medication were first-generation antihistamines (15.34%). There was a high frequency in the use of potentially inappropriate medications which can initiate marked side effects and may compromise the fragile health of institutionalized elderly. Thus, adopting the Beers Criteria in prescribing medication contributes to minimize adverse reactions and drug interactions.

Polypharmacy and potentially inappropriate medications for elder people in gerontological nursing

“…Despite this, 100% of the elder people aged over 80 years old participants of this survey were making use of AAS. A study using as reference the 2012 Beers Criteria found frequency of use of AAS for the elderly ranging between 30 and 80%, in three long-stay institutions (31) .…”

Exposure to potentially inappropriate medications in Brazilian elderly outpatients with metabolic diseases

“…Other drugs were excluded from the former criteria due to lack of scientific evidence or withdrawn from the market (Fick et al, 2015;O'Mahony et al, 2015). It is possible that the use of the revised criteria may reveal higher prevalence of PIMs, as it has been reported in recent Brazilian studies according to 2012 Beers (35.0-51.8%) (Ganassin, Matos, Toffoli-Kadri, 2014;Martins et al, 2015;Oliveira et al, 2015).…”

Prevalência do uso de medicamentos potencialmente inapropriados ao idoso no Brasil: uma revisão sistemática

“…É possível observar as três classes de medicamentos mais prescritas, para cada estudo de amostra hospitalar, conforme tabela 6: -Conceição, et al, 2017;Ganassin, et al, 2014;Mauro Cunha Xavier Pinto, et al, 2013;Vieira De Lima, Garbin, Garbin, Sumida, & Saliba, 2013).…”

“…Foi possível observar a maior prevalência de SF em todos os estudos com amostra em ILP, exceto no estudo de Ganassim, et al (2014), com 42,1%. Quanto à prevalência de MPI, esteve entre 63,01% (Pinto, et al, 2013) e 98,7% (Ganassin, et al, 2014), com prevalência de PF de 33,6%, demonstrada apenas no estudo de Alves-Conceição, et al (2017).…”

“…Para esta, foram realizadas tentativas de pesquisa em outras bases de dados, por meio dos periódicos da CAPES, além de tentativas de localização do contato do autor principal, porém sem sucesso. SP A distribuição dos 25 estudos, conforme a característica da amostra, se deu do seguinte modo: Domiciliar (sete estudos), Ambulatorial (oito estudos), Hospitalar (seis estudos) ou ILP (quatro estudos), que serão analisados de acordo com esta lógica.Percebeu-se que, em apenas quatro estudos, a prevalência do sexo feminino(SF) foi menor do que a do masculino, com prevalências de: 42,1%; 41,5%; 45,1%; e 49,4%, todos com amostras de idosos institucionalizados; três deles, com amostra hospitalar; e uma, com amostra de ILP (de Figueiredo, de Souza Groia, Barroso, doNascimento, & Reis, 2017;Galli, Reis, Andrzejevski, Christini Torelli Reis, & Mari Salvi Andrzejevskimsc, 2016;Ganassin, et al, 2014;Lopes, Figueiredo, Costa, & Reis, 2016;Sousa-Muñoz, et al, 2012).De todas as publicações, apenas quatro trouxeram dados de prevalência de IM.…”