Evaluation of polypharmacy and appropriateness of prescription in geriatric patients using Beer's criteria at tertiary care hospital: a record based retrospective study.

Q3 Pharmacology, Toxicology and Pharmaceutics
Geetanjali Hiremath, Radhika Sherkhane, Shrikant Hiremath
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引用次数: 0

Abstract

Objectives: The current study aims to evaluate the aptness of prescription in elderly along with looking out for polypharmacy, overprescribing and under prescribing in geriatric patients being treated at the tertiary care hospital.

Methods: This is a retrospective record-based study, data was collected from 1st January 2017 to 31st December 2018 of all the patient which are falling in the inclusion criteria. Prescription appropriateness was assessed implementing 'Beers criteria'. Errors in prescription along with administration were checked by direct observation and analysis of prescriptions.

Results: Out of total 2,718 patients, 58.6 % were found to be males and 41.4 % were females. Most common comorbidities found were hypertension and coronary artery diseases (CAD). In the current study, 39 % of the prescription contained inappropriate medication and 11.20 % prescriptions were having adverse drug reaction. Error by attending nurse in prescription reading came out to be the most common error in this study.

Conclusions: Diclofenac was found to be the most commonly used inappropriate drug as per Beer's criteria. Clinicians should be more cautious when using drugs in old age patients.

利用Beer标准评价三级医院老年患者的多药及处方适宜性:一项基于记录的回顾性研究。
目的:本研究旨在评估老年人处方的适宜性,并找出在三级医院治疗的老年患者的多药、处方过量和处方不足。方法:回顾性记录研究,收集2017年1月1日至2018年12月31日符合纳入标准的所有患者的数据。实施“比尔斯标准”评估处方适当性。通过对处方的直接观察和分析,对处方中的错误进行了查证。结果:2718例患者中,58.6% 为男性,41.4% 为女性。最常见的合并症是高血压和冠状动脉疾病(CAD)。在本研究中,39% %的处方含有不适当的药物,11.20% %的处方存在药物不良反应。在本研究中,护理人员在处方阅读中出现的错误是最常见的。结论:根据Beer标准,双氯芬酸是最常见的不适宜用药。临床医生在老年患者用药时应更加谨慎。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Basic and Clinical Physiology and Pharmacology
Journal of Basic and Clinical Physiology and Pharmacology Pharmacology, Toxicology and Pharmaceutics-Pharmacology
CiteScore
3.90
自引率
0.00%
发文量
53
期刊介绍: The Journal of Basic and Clinical Physiology and Pharmacology (JBCPP) is a peer-reviewed bi-monthly published journal in experimental medicine. JBCPP publishes novel research in the physiological and pharmacological sciences, including brain research; cardiovascular-pulmonary interactions; exercise; thermal control; haematology; immune response; inflammation; metabolism; oxidative stress; and phytotherapy. As the borders between physiology, pharmacology and biochemistry become increasingly blurred, we also welcome papers using cutting-edge techniques in cellular and/or molecular biology to link descriptive or behavioral studies with cellular and molecular mechanisms underlying the integrative processes. Topics: Behavior and Neuroprotection, Reproduction, Genotoxicity and Cytotoxicity, Vascular Conditions, Cardiovascular Function, Cardiovascular-Pulmonary Interactions, Oxidative Stress, Metabolism, Immune Response, Hematological Profile, Inflammation, Infection, Phytotherapy.
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