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Int. J. Clin. Pract. · Nov 2021
Potentially inappropriate medications in older adults according to Beers criteria 2019: prevalence and risk factors.
- Asma Ahmed Abdelwahed, Faris El-Dahiyat, Dina Aljawamis, Jumana Al Ajimi, and Khuloud Jamal Bin Rafeea.
- Clinical Pharmacy Program, College of Pharmacy, Al Ain University, Al Ain, UAE.
- Int. J. Clin. Pract. 2021 Nov 1; 75 (11): e14715.
AimOlder patients are more prone to receive potentially inappropriate medications (PIMs) that are better to be avoided or dose adjusted to protect them from their unnecessary or harmful use. This study aims to detect the prevalence of PIMs among older patients discharged from Tawam hospital according to Beers criteria 2019. Moreover, the common risk factors of the older patients may subject them to PIMs use.MethodsA retrospective charts review study of older patients ≥65 years who were prescribed 5 or more medications and were discharged from Tawam hospital from 1 October 2018 to 31 December 2018. Each patient's medical record was scanned to detect PIMs. (PIMs) were classified according to Beers criteria 2019, and the predictors of PIMs were also assessed.ResultsA total of 502 older patients (51.6% females and 48.4% males) medical charts were reviewed. The prevalence of PIMs among the study population was 34.7%. Antipsychotics (27.5%) and sulphonylurea's (16.8%) were among the most common avoided PIMs. Anticoagulants (40%) and ranitidine (35%) were the most PIMs based on the kidney function of the patient. Female gender [OR 1.8; 95% CI (1.22-2.66), P < .05] and increasing number of medications [OR 1.08; 95% CI (1.03-1.14), P < .05] were the independent predictors of PIMs.ConclusionBased on the prevalence of PIMs among older patients, it is recommended to revise each patient's medications prescription to avoid inappropriate prescribing and hence decrease the prevalence of PIMs.© 2021 John Wiley & Sons Ltd.
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