Prevalence of potentially inappropriate medications use among older adults and risk factors using the 2015 American Geriatrics Society Beers criteria
BMC Geriatrics Jun 04, 2019
Alhawassi TM, et al. - In this cross-sectional retrospective study utilizing electronic medical records and 2015 Beers criteria, researchers assessed potentially inappropriate medicine (PIM) use among older patients (aged ≥ 65 years; n=4,073; 56.8% female) who received treatment in the ambulatory care setting. In all, a high prevalence of PIM use was noted in the study population. Specifically, the prevalence of PIMs to be avoided among older adults was 57.6%, where 39.9% of the older adults population were prescribed one PIM, 14.5% were prescribed two PIMs, and 3.3% were prescribed ≥ 3 PIMs. Gastrointestinal and endocrine agents (35.6 and 34.3%, respectively) were the most commonly prescribed PIMs. A 37.5% prevalence of PIMs to be used with caution was reported. The authors concluded that a high risk of PIM use among older patients was observed in relation to polypharmacy and certain chronic comorbidities, and further studies should focus on strategies and inventions rationing PIM use in the geriatric population.
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