Prevalence of inappropriate prescribing in complex chronic patients: Time trends in a health department of Valencia, Spain (2015-2019).

Autor:	Peris-Campillo P; Emergency Department, University Clinical Hospital, Health Department 'València - Clinic-Malvarrosa', Valencia, Av. Blasco Ibáñez n° 17, 46010 Valencia, Spain. Electronic address: pperiscampillo@gmail.com., Trillo-Mata JL; Direction of Pharmacy, Health Department 'València-Clinic-Malvarrosa', Valencia, Av. Blasco Ibáñez n° 17, 46010 Valencia, Spain., Roca-Navarro MP; Primary Care Physician, República Argentina Health Centre, Health Department 'València-Clinic-Malvarrosa', Valencia, C/ República Argentina n° 8, Valencia, Spain., Usó-Talamantes R; Medical Direction, Valencia Quiron Hospital, Av. Blasco Ibáñez n° 14, 46010 Valencia, Spain., Navarro-Pérez J; Medical Direction, Health Department 'València-Clinic-Malvarrosa', Valencia, Av. Blasco Ibáñez n° 17, 46010 Valencia, Spain; INCLIVA Health Research Institute, University Clinical Hospital, Health Department 'València - Clinic-Malvarrosa', Valencia, Spain; CIBERESP Consortium for Biomedical Research in Epidemiology & Public Health, Spain.
Jazyk:	angličtina
Zdroj:	Revista espanola de geriatria y gerontologia [Rev Esp Geriatr Gerontol] 2022 Mar-Apr; Vol. 57 (2), pp. 90-94. Date of Electronic Publication: 2022 Mar 12.
DOI:	10.1016/j.regg.2022.01.006
Abstrakt:	Background and Objective: Inappropriate prescribing (IP) is an important cause of health problems among elderly and complex chronic patients (CCPs). Objective: Surveillance of IP prevalence among elderly and CCPs in a health department. IP time trends across the period 2015-2019. Method: Descriptive population-based study. Setting: 'València-Clínic-Malvarrosa' Health Department, Valencia, Spain. Period: 2015-2019. Subjects: Complete set of CCPs in the department, defined by clinical risk groups. Number of CCPs (annual average in the period): 9102 (75% ≥65 years of age). IP was measured using an indicator consisting of 13 specific types of prescriptions defined as inappropriate. Analyses: frequencies and time trends, both overall and by specific type. Results: Overall prevalence of IP ranged from 0.276 (2015) to 0.289 (2018) per patient, without time trend. The most frequent inappropriate prescription was type 1: "≥75 years of age with inappropriate medication", which showed a stable rate across the period. Some types of inappropriate prescriptions displayed favourable decreasing time trends, while others showed no change or an unfavourable trend (i.e., joint prescription of absorbents and urinary antispasmodics). Conclusions: IP prevalence is a serious and persistent problem among the elderly and CCPs, especially in the oldest. It is therefore necessary its continuous surveillance (overall and by specific types of prescription). As well as interventions to optimise prescribing, thus improving the quality and efficiency of care for the elderly and CCPs. (Copyright © 2022 SEGG. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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