Naldy Parodi López1, Yuri Fabiola Villán Villán2, María Isabel Granados Menéndez3, Ana Royuela4. 1. Medicina Familiar y Comunitaria, Centro de Salud Monóvar, Madrid, España. Electronic address: naldypa@yahoo.es. 2. Medicina Familiar y Comunitaria, Centro de Salud Alameda de Osuna, Madrid, España. 3. Docencia y Residentes, Centro de Salud Monóvar, Centro de Salud Monóvar, Madrid, España. 4. CIBER Epidemiología y Salud Pública (CIBERESP), Unidad de Bioestadística Clínica, Hospital Ramón y Cajal, IRYCIS, Madrid, España.
Abstract
OBJECTIVE: To identify potentially inappropriate prescriptions (PPI) and prescribing omissions (OP) by means of the STOPP/START criteria, as well as associated factors in ≥65year old patients in a Primary Care setting in Spain. STUDY DESIGN: A cross-sectional, descriptive study. SETTING: Centro de Salud Monóvar, Primary Health Care. STUDY PERIOD: 6months. PATIENTS RANDOM SAMPLE: 247patients. ELIGIBILITY CRITERIA: ≥65years patients who attended an urban Primary Care clinic 2 or more times were studied. Terminally ill and nursing home residents were excluded. METHODS: Data were collected from electronic clinical records. STOPP and START criteria were evaluated in each clinical record, including age, sex, co-morbidity, number of chronic prescriptions. MAIN OUTCOMES: PPI and OP identified by STOPP and START criteria, respectively. RESULTS: A total of 81 patients (32.8%) had PPI, with the most common being the long-term use of long-acting benzodiazepines in 17 (6.9%). OP was found in 73 (29.6%) patients, with the most common being the omission of statins in patients diagnosed with diabetes mellitus and/or one or more major cardiovascular risk factors in 21 (8.5%). After adjustment by gender and age, correlations were found between PPI and multiple medication (OR: 2.02; 95%CI: 1.15-3.53; P=.014), and OP and polypharmacy (OR: 2.37; 95%CI: 1.32-4.24; P=0.004). CONCLUSIONS: Inappropriate prescribing in older people is frequent, and is mainly associated with long-acting benzodiazepines. There are diabetic patients who do not have statins prescribed. Multiple medication is associated with PPI and OP.
OBJECTIVE: To identify potentially inappropriate prescriptions (PPI) and prescribing omissions (OP) by means of the STOPP/START criteria, as well as associated factors in ≥65year old patients in a Primary Care setting in Spain. STUDY DESIGN: A cross-sectional, descriptive study. SETTING: Centro de Salud Monóvar, Primary Health Care. STUDY PERIOD: 6months. PATIENTS RANDOM SAMPLE: 247patients. ELIGIBILITY CRITERIA: ≥65years patients who attended an urban Primary Care clinic 2 or more times were studied. Terminally ill and nursing home residents were excluded. METHODS: Data were collected from electronic clinical records. STOPP and START criteria were evaluated in each clinical record, including age, sex, co-morbidity, number of chronic prescriptions. MAIN OUTCOMES: PPI and OP identified by STOPP and START criteria, respectively. RESULTS: A total of 81 patients (32.8%) had PPI, with the most common being the long-term use of long-acting benzodiazepines in 17 (6.9%). OP was found in 73 (29.6%) patients, with the most common being the omission of statins in patients diagnosed with diabetes mellitus and/or one or more major cardiovascular risk factors in 21 (8.5%). After adjustment by gender and age, correlations were found between PPI and multiple medication (OR: 2.02; 95%CI: 1.15-3.53; P=.014), and OP and polypharmacy (OR: 2.37; 95%CI: 1.32-4.24; P=0.004). CONCLUSIONS: Inappropriate prescribing in older people is frequent, and is mainly associated with long-acting benzodiazepines. There are diabeticpatients who do not have statins prescribed. Multiple medication is associated with PPI and OP.
Authors: Encarnación Blanco-Reina; Maria Rosa García-Merino; Ricardo Ocaña-Riola; Lorena Aguilar-Cano; Jennifer Valdellós; Inmaculada Bellido-Estévez; Gabriel Ariza-Zafra Journal: PLoS One Date: 2016-12-01 Impact factor: 3.240
Authors: Antonio Nuñez-Montenegro; Alonso Montiel-Luque; Esther Martin-Aurioles; Felicisima Garcia-Dillana; Monica Krag-Jiménez; Jose A González-Correa Journal: J Clin Med Date: 2019-03-04 Impact factor: 4.241