Potentially Inappropriate Prescriptions in Ambulatory Elderly Patients Living in Rural Areas of Romania Using STOPP/START (Version 2) Criteria.

Autor:	Buda V; Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, 'Victor Babeş' University of Medicine and Pharmacy, Timisoara, Romania., Prelipcean A; 'Victor Babeş' University of Medicine and Pharmacy, Timisoara, Romania., Andor M; Department of Medical Semiotics, Faculty of Medicine, 'Victor Babeş' University of Medicine and Pharmacy, Timisoara, Romania., Dehelean L; Discipline of Psychiatry, Department of Neurosciences, Faculty of Medicine, 'Victor Babeş' University of Medicine and Pharmacy, Timisoara, Romania., Dalleur O; Clinical Pharmacy Research Group, Louvain Drug Research Institute, Université catholique de Louvain UCLouvain, Bruxelles, Belgium., Buda S; 'Victor Babeş' University of Medicine and Pharmacy, Timisoara, Romania., Spatar L; 'Victor Babeş' University of Medicine and Pharmacy, Timisoara, Romania., Mabda MC; Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, 'Victor Babeş' University of Medicine and Pharmacy, Timisoara, Romania., Suciu M; Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, 'Victor Babeş' University of Medicine and Pharmacy, Timisoara, Romania., Danciu C; Department of Pharmacognosy, Faculty of Pharmacy, 'Victor Babeş' University of Medicine and Pharmacy, Timisoara, Romania., Tudor A; Department of Statistics and Biomedical Informatics, Faculty of Pharmacy, 'Victor Babeş' University of Medicine and Pharmacy, Timisoara, Romania., Petrescu L; Department of Cardiology VI, Faculty of Medicine, 'Victor Babeş' University of Medicine and Pharmacy, Timisoara, Romania.; Cardiovascular Diseases Institute, Timisoara, Romania., Cristescu C; Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, 'Victor Babeş' University of Medicine and Pharmacy, Timisoara, Romania.
Jazyk:	angličtina
Zdroj:	Clinical interventions in aging [Clin Interv Aging] 2020 Mar 19; Vol. 15, pp. 407-417. Date of Electronic Publication: 2020 Mar 19 (Print Publication: 2020).
DOI:	10.2147/CIA.S233270
Abstrakt:	Background: Rational use of medications and monitoring of prescriptions in elderly patients is important to decrease the number and duration of hospitalizations, emergency medical consultations, mortality, as well as medical costs. Purpose: To identify potentially inappropriate medications (PIMs) and potential prescription omissions (PPOs), and determine their prevalence based on the Screening Tool of Older Persons' potentially inappropriate Prescriptions (STOPP) v2 criteria and Screening Tool to Alert doctors to Right Treatment (START) v2 criteria for patients aged >65 years. Methods: This cross-sectional study was conducted in two rural counties in Romania based on electronic prescriptions for chronic conditions (EPCCs) issued from 30 days to 90 days by a specialist or general practitioner. Collected EPCCs were evaluated by an interdisciplinary team of specialists based on 26 STOPP v2 criteria and 10 START v2 criteria. Results: PIM prevalence was 25.80% and PPO prevalence was 41.72% for 646 EPCCs. The mean age of patients was 75 years and the mean number of drugs per EPCC was four. The most frequently identified PIMs were treatment duration (6.65%), theophylline administration (5.72%), drug indication (4.64%), cyclo-oxygenase-2 non-steroidal anti-inflammatory drugs (1.39%), and zopiclone prescription (0.77%). Statins (24.76%), beta-blockers (8.04%), and beta-2 agonist/antimuscarinic bronchodilators (5.88%) were the most frequently identified PPOs. Conclusion: PPOs were more prevalent than PIMs for elderly populations living in the two rural counties in Romania we studied. Health practitioners (family physicians, specialists, and pharmacists) should focus on prophylactic and curative considerations when prescribing agents to decrease the morbidity and mortality of elderly rural Romanian patients. Competing Interests: Dr Liana Dehelean reports personal fees from Johnson and Johnson, Lundbeck, Eli Lilly and Angelini, outside of the submitted work. The authors report no other conflicts of interest in this work. (© 2020 Buda et al.)
Databáze:	MEDLINE
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