CAUSES AND FACTORS ASSOCIATED WITH INAPPROPRIATE PRESCRIBING IN THE ELDERLY PATIENT DETECTED AT HOSPITAL ADMISSION. APPLICATION OF THE STOPP & START CRITERIA
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作者:
Navalon Carles, Iniesta
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Hosp Gen Univ Reina Sofia, Serv Farm, Murcia, SpainHosp Gen Univ Reina Sofia, Serv Farm, Murcia, Spain
Navalon Carles, Iniesta
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Sanz Elena, Urbieta
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Hosp Gen Univ Reina Sofia, Serv Farm, Murcia, SpainHosp Gen Univ Reina Sofia, Serv Farm, Murcia, Spain
Objective: To analyze the causes of potentially inappropriate prescribing (IP) found in patients over 64 years of age admitted to the hospital. Method: Observational study in an area hospital of reference. We included all patients over 64 years old who were admitted to the hospital during the last quarter of 2009. We considered as inappropriate prescriptions those included in the STOPP and START criteria and any prescription of low therapeutic utility (LTU) drugs. We determined the prevalence and causes of inappropriate prescribing and its related factors. Results: 382 patients were included in the study with an average age of 77.7 years. 58.1% of those patients had at least one inadequate prescription. After the application of the STOPP and START criteria, we detected IP in 45.8% of patients and LTU drug prescriptions in 23.8% of them. Conclusions: There is a high prevalence of inappropriate prescriptions in elderly patients. We should systematize the revision of this kind of prescriptions by giving preference to at-risk patients.
机构:
Univ Hosp Ibn Sina, Acute Med Unit, Rabat 10000, Morocco
Mohammed V Univ Rabat, Fac Med & Pharm, Lab Biostat Clin & Epidemiol Res LBRCE, Rabat 10000, MoroccoUniv Hosp Ibn Sina, Acute Med Unit, Rabat 10000, Morocco
Alaoui, Amal Mrani
Elqabissi, Oumaima
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Univ Hosp Ibn Sina, Acute Med Unit, Rabat 10000, MoroccoUniv Hosp Ibn Sina, Acute Med Unit, Rabat 10000, Morocco
Elqabissi, Oumaima
Loutfi, Salma
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Univ Hosp Ibn Sina, Acute Med Unit, Rabat 10000, MoroccoUniv Hosp Ibn Sina, Acute Med Unit, Rabat 10000, Morocco
Loutfi, Salma
Chaibi, Aicha
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机构:
Univ Hosp Ibn Sina, Acute Med Unit, Rabat 10000, Morocco
Mohammed V Univ Rabat, Fac Med & Pharm, Lab Biostat Clin & Epidemiol Res LBRCE, Rabat 10000, MoroccoUniv Hosp Ibn Sina, Acute Med Unit, Rabat 10000, Morocco
Chaibi, Aicha
Nechba, Rhita Bennis
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Univ Hosp Ibn Sina, Acute Med Unit, Rabat 10000, MoroccoUniv Hosp Ibn Sina, Acute Med Unit, Rabat 10000, Morocco
Nechba, Rhita Bennis
Belayachi, Jihane
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Univ Hosp Ibn Sina, Acute Med Unit, Rabat 10000, Morocco
Mohammed V Univ Rabat, Fac Med & Pharm, Lab Biostat Clin & Epidemiol Res LBRCE, Rabat 10000, MoroccoUniv Hosp Ibn Sina, Acute Med Unit, Rabat 10000, Morocco
Belayachi, Jihane
Madani, Naoufel
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Univ Hosp Ibn Sina, Acute Med Unit, Rabat 10000, Morocco
Mohammed V Univ Rabat, Fac Med & Pharm, Lab Biostat Clin & Epidemiol Res LBRCE, Rabat 10000, MoroccoUniv Hosp Ibn Sina, Acute Med Unit, Rabat 10000, Morocco
机构:
AI Yevdokimov Moscow State Univ Med & Dent, Moscow, RussiaAI Yevdokimov Moscow State Univ Med & Dent, Moscow, Russia
De, V.
Kochetkov, A.
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Russian Clin & Res Ctr Gerontol, Moscow, RussiaAI Yevdokimov Moscow State Univ Med & Dent, Moscow, Russia
Kochetkov, A.
Ostroumova, O.
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AI Yevdokimov Moscow State Univ Med & Dent, Moscow, Russia
Russian Clin & Res Ctr Gerontol, Moscow, RussiaAI Yevdokimov Moscow State Univ Med & Dent, Moscow, Russia
Ostroumova, O.
Starodubova, A.
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Fed Res Ctr Nutr Biotechnol & Food Safety, Moscow, RussiaAI Yevdokimov Moscow State Univ Med & Dent, Moscow, Russia
Starodubova, A.
Chernyaeva, M.
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Vet Hosp 2, Moscow, RussiaAI Yevdokimov Moscow State Univ Med & Dent, Moscow, Russia
Chernyaeva, M.
Voevodina, N.
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EO Mukhin Municipal Clin Hosp, Moscow, RussiaAI Yevdokimov Moscow State Univ Med & Dent, Moscow, Russia
Voevodina, N.
Chachiashvili, M.
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机构:
EO Mukhin Municipal Clin Hosp, Moscow, RussiaAI Yevdokimov Moscow State Univ Med & Dent, Moscow, Russia
机构:
Univ Ottawa, Dept Family Med, Ottawa, ON, Canada
Bruyere Res Inst, Ottawa, ON, Canada
ICES uOttawa, Ottawa, ON, Canada
Univ Ottawa, Sch Epidemiol Publ Hlth & Prevent Med, Ottawa, ON, CanadaUniv Ottawa, Dept Family Med, Ottawa, ON, Canada
Bjerre, Lise M.
Ramsay, Timothy
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机构:
Univ Ottawa, Sch Epidemiol Publ Hlth & Prevent Med, Ottawa, ON, Canada
Ottawa Hosp, Res Inst, Ottawa, ON, CanadaUniv Ottawa, Dept Family Med, Ottawa, ON, Canada
Ramsay, Timothy
Cahir, Catriona
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机构:
Univ Dublin Trinity Coll, Econ & Social Res Inst, Dublin 2, IrelandUniv Ottawa, Dept Family Med, Ottawa, ON, Canada
Cahir, Catriona
Ryan, Cristin
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Royal Coll Surgeons Ireland, Sch Pharm, Dublin 2, IrelandUniv Ottawa, Dept Family Med, Ottawa, ON, Canada
Ryan, Cristin
Halil, Roland
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Univ Ottawa, Dept Family Med, Ottawa, ON, CanadaUniv Ottawa, Dept Family Med, Ottawa, ON, Canada
Halil, Roland
Farrell, Barbara
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机构:
Univ Ottawa, Dept Family Med, Ottawa, ON, Canada
Bruyere Res Inst, Ottawa, ON, Canada
Univ Waterloo, Sch Pharm, Waterloo, ON N2L 3G1, CanadaUniv Ottawa, Dept Family Med, Ottawa, ON, Canada
Farrell, Barbara
Thavorn, Kednapa
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机构:
ICES uOttawa, Ottawa, ON, Canada
Univ Ottawa, Sch Epidemiol Publ Hlth & Prevent Med, Ottawa, ON, Canada
Ottawa Hosp, Res Inst, Ottawa, ON, CanadaUniv Ottawa, Dept Family Med, Ottawa, ON, Canada
Thavorn, Kednapa
Catley, Christina
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机构:
ICES uOttawa, Ottawa, ON, CanadaUniv Ottawa, Dept Family Med, Ottawa, ON, Canada
Catley, Christina
Hawken, Steven
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机构:
ICES uOttawa, Ottawa, ON, Canada
Univ Ottawa, Sch Epidemiol Publ Hlth & Prevent Med, Ottawa, ON, Canada
Ottawa Hosp, Res Inst, Ottawa, ON, CanadaUniv Ottawa, Dept Family Med, Ottawa, ON, Canada
Hawken, Steven
Gillespie, Ulrika
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机构:
Uppsala Univ, Sch Pharm, Uppsala, SwedenUniv Ottawa, Dept Family Med, Ottawa, ON, Canada
Gillespie, Ulrika
Manuel, Douglas G.
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机构:
Univ Ottawa, Dept Family Med, Ottawa, ON, Canada
Bruyere Res Inst, Ottawa, ON, Canada
ICES uOttawa, Ottawa, ON, Canada
Univ Ottawa, Sch Epidemiol Publ Hlth & Prevent Med, Ottawa, ON, Canada
Ottawa Hosp, Res Inst, Ottawa, ON, CanadaUniv Ottawa, Dept Family Med, Ottawa, ON, Canada