Evaluation of Rationality of Geriatric Patients’ Prescription Based On Beers Criteria in a Tertiary Care Hospital in India

Authors

  • Nader Motallebzadeh RR College of Pharmacy, Chikkabanavara, Bangalore, India
  • Geetha Jayaprakash Department of Pharmacy Practice, RR College of Pharmacy, Chikkabanavara, Bangalore, India
  • Elham Mohammadi RR College of Pharmacy, Chikkabanavara, Bangalore, India

DOI:

https://doi.org/10.3889/oamjms.2019.172

Keywords:

Beers Criteria, Potentially inappropriate Medication (PIM), Predictors of PIM, Prevalence of PIM

Abstract

AIM: Irrational prescribing for geriatric patients has become an important public health problem worldwide. Because India is one of the most populated countries having a great proportion of old people in the world, studies on the prevalence of inappropriate prescriptions can be very beneficial to increase the knowledge of health care providers and to reduce the occurrence of adverse drug events among this population.

METHODS: A group of 482 inpatients above 64 years old were enrolled in a prospective study. Chart review method was used. The data were collected from patients’ prescription and medicine charts. Each prescription was checked individually for the inappropriate drug by using the AGS 2015 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. Suggestions were given to the physicians for inappropriate medications.

RESULTS: The prevalence of potentially inappropriate medication is found to be 11.66% (n = 56). Out of 56 inappropriate medications, the most frequently inappropriate medication is Digoxin (25%) followed by Sprinolactone 19.64%. This study founds age, some medication, length of stay and number of diagnosis as predictors for getting a PIM. Feedback of the physicians varies based on the suggestions.

CONCLUSION: This study concludes that the prevalence of PIMs among geriatrics patients of ≥ 65 years old is 11.66%. Some predictors have been identified for getting a PIM. This study shows that physicians’ feedback is dependent on the suggestions being given.

 

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Published

2019-03-28

How to Cite

1.
Motallebzadeh N, Jayaprakash G, Mohammadi E. Evaluation of Rationality of Geriatric Patients’ Prescription Based On Beers Criteria in a Tertiary Care Hospital in India. Open Access Maced J Med Sci [Internet]. 2019 Mar. 28 [cited 2024 Mar. 29];7(6):987-91. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2019.172

Issue

Section

B - Clinical Sciences