A prospective, cross-sectional study on Prescribing Pattern of Drugs and the incidence of potentially inappropriate medications in Geriatrics Population at a Tertiary Care Teaching Hospital in Western India

Asia Pacific Journal of Medical Toxicology Pub Date : 2020-11-01 DOI:10.22038/APJMT.2020.17362

S. Ambwani, A. Misra, N. Midha, Bharat Kumar, Vikram Singh

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Abstract

Background: Polypharmacy and inappropriate prescriptions are the most highlighted health issues among geriatric population, as they have multiple comorbidities. The objective of this study was to assess prescriptions using the World Health Organization (WHO) core indicators and Beers Criteria to discover polypharmacy and inappropriate prescriptions.Methods: This was a prospective, cross-sectional study of geriatric patients (65 years and above) who were attending the medicine outpatients clinic of a tertiary care teaching hospital hospital from May to December, 2016. World Health Organization (WHO) indicators and updated Beers Criteria were used to assess the drug utilization pattern and the prevalence of potentially inappropriatemedications (PIMs), respectively.Results: The prescriptions of 250 geriatrics patients with a distribution of 57.6% male and 42.4% female were assessed for this study. The total numbers of drugs recorded from the prescriptions were 1635 drugs, with an average of 6.54 drugs per person. According tothe Beers Criteria, it was found that nearly 23.05% of the total prescribed drugs were potentially inappropriate.Conclusion: Polypharmacy and use of inappropriate medicines presents a health risk to the geriatric population. Causes could include healthcare practitioner shortage, lack of awareness of PIMs, not understanding drug interaction, and the need for multiple drugs. Prescriber training and retraining is needed.

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西印度一所高等护理教学医院老年人群中药物处方模式和潜在不合适药物发生率的前瞻性横断面研究

背景：多药治疗和不适当的处方是老年人群中最突出的健康问题，因为他们有多种合并症。本研究的目的是使用世界卫生组织（世界卫生组织）的核心指标和Beers标准来评估处方，以发现多药和不适当的处方。方法：这是一项前瞻性的横断面研究，研究对象为2016年5月至12月在一家三级护理教学医院门诊就诊的老年患者（65岁及以上）。世界卫生组织（世界卫生组织）的指标和更新的比尔斯标准分别用于评估药物使用模式和潜在不适当药物（PIM）的流行率。结果：本研究评估了250名老年患者的处方，其中男性57.6%，女性42.4%。处方中记录的药物总数为1635种，平均每人6.54种。根据比尔斯标准，发现处方药中有将近23.05%可能是不合适的。结论：多药治疗和使用不适当的药物会对老年人的健康造成风险。原因可能包括医护人员短缺、缺乏PIM意识、不了解药物相互作用以及需要多种药物。需要对处方医生进行培训和再培训。

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来源期刊

Asia Pacific Journal of Medical Toxicology

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： Asia Pacific Journal of Medical Toxicology (APJMT) aims to expand the knowledge of medical toxicology and tries to provide reliable information in this field for medical and healthcare professionals. APJMT mainly focuses on research related to medical toxicology issues in the Asia Pacific region and publishes articles on clinical and epidemiological aspects of toxicology, poisonings emergency care, addiction, drug interactions and adverse effects. The journal accepts and welcomes high quality papers in the form of original articles and rarely review articles, case reports and scientific letters relevant to medical practice in toxicology.