Prevalence of Potentially Inappropriate Medication use in older drivers
Autor: | Guohua Li, Howard F. Andrews, Stanford Chihuri, Barbara H. Lang, Cheng Shiun Leu, David P. Merle, Abigail Gordon, Thelma J. Mielenz, David Strogatz, David W. Eby, Marian E. Betz, Carolyn DiGuiseppi, Vanya C. Jones, Lisa J. Molnar, Linda L. Hill, The LongROAD Research Team |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Gerontology
Male Beers criteria medicine.medical_specialty Automobile Driving Aging medicine.medical_treatment Psychological intervention Beers Criteria Inappropriate Prescribing lcsh:Geriatrics Occupational safety and health Cohort Studies 03 medical and health sciences 0302 clinical medicine hemic and lymphatic diseases Prevalence Medicine Humans 030212 general & internal medicine Longitudinal Studies Prospective Studies Potentially Inappropriate Medication List Aged Geriatrics Aged 80 and over Medication use Rehabilitation business.industry Odds ratio Confidence interval lcsh:RC952-954.6 Cross-Sectional Studies Driving safety Older adults Female Independent Living Geriatrics and Gerontology business human activities Potentially inappropriate medications 030217 neurology & neurosurgery Research Article |
Zdroj: | BMC Geriatrics, Vol 19, Iss 1, Pp 1-8 (2019) BMC Geriatrics |
ISSN: | 1471-2318 |
Popis: | Background Potentially Inappropriate Medication (PIM) use has been studied in a variety of older adult populations across the world. We sought to examine the prevalence and correlates of PIM use in older drivers. Methods We applied the American Geriatrics Society 2015 Beers Criteria to baseline data collected from the “brown-bag” review of medications for participants of the Longitudinal Research on Aging Drivers (LongROAD) study to examine the prevalence and correlates of PIM use in a geographically diverse, community-dwelling sample of older drivers (n = 2949). Proportions of participants who used one or more PIMs according to the American Geriatrics Society 2015 Beers Criteria, and estimated odds ratios (ORs) and 95% confidence intervals (CIs) of PIM use associated with participant characteristics were calculated. Results Overall, 18.5% of the older drivers studied used one or more PIM. The most commonly used therapeutic category of PIM was benzodiazepines (accounting for 16.6% of the total PIMs identified), followed by nonbenzodiazepine hypnotics (15.2%), antidepressants (15.2%), and first-generation antihistamines (10.5%). Compared to older drivers on four or fewer medications, the adjusted ORs of PIM use were 2.43 (95% CI 1.68–3.51) for those on 5–7 medications, 4.19 (95% CI 2.95–5.93) for those on 8–11 medications, and 8.01 (95% CI 5.71–11.23) for those on ≥12 medications. Older drivers who were female, white, or living in urban areas were at significantly heightened risk of PIM use. Conclusion About one in five older drivers uses PIMs. Commonly used PIMs are medications known to impair driving ability and increase crash risk. Implementation of evidence-based interventions to reduce PIM use in older drivers may confer both health and safety benefits. Trial registration Not applicable. |
Databáze: | OpenAIRE |
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