scholarly journals Inappropriate prescribing in an acutely ill population of elderly patients as determined by Beers' Criteria

2007 ◽  
Vol 37 (1) ◽  
pp. 96-101 ◽  
Author(s):  
Paul F. Gallagher ◽  
Pat J. Barry ◽  
Cristin Ryan ◽  
Irene Hartigan ◽  
Denis O'Mahony
Keyword(s):  
Elderly Patients ◽  
Inappropriate Prescribing ◽  
Beers Criteria

scholarly journals Assessment of Inappropriate Prescribing to Elderly Patients in an Internal Medicine Ward According to the 2019 Beers Criteria

2020 ◽  
Vol 03 (02) ◽  
Author(s):  
Cátia Pereira ◽  
Ana Guiomar ◽  
Alexandra Cunha ◽  
Catarina Alves Cunha ◽  
José Pedro Barbosa ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Elderly Patients ◽  
Inappropriate Prescribing ◽  
Beers Criteria ◽  
Internal Medicine Ward

scholarly journals Potential inappropriate prescribing among ambulatory elderly patients in a geriatric centre in southwestern Nigeria: Beers criteria versus STOPP/START criteria

2020 ◽  
Vol 19 (5) ◽  
pp. 1105-1111
Author(s):  
Wuraola Akande-Sholabi ◽  
Oluwatobi C. Ajilore ◽  
Segun J. Showande ◽  
Lawrence A. Adebusoye
Keyword(s):  
Elderly Patients ◽  
Health Care Professionals ◽  
Screening Tool ◽  
Data Extraction ◽  
Inappropriate Prescribing ◽  
Beers Criteria ◽  
Potentially Inappropriate Prescribing ◽  
Southwestern Nigeria ◽  
Start Criteria ◽  
Prescribing Omissions

Purpose: To identify potentially inappropriate prescribing in ambulatory elderly patients and compare the appropriateness of guidelines; Beers' and Screening Tool of Older Person’s Prescription (STOPP)/Screening Tool to Alert Right Treatment (START) criteria to detect potentially  inappropriate prescribing among the elderly.Methods: A retrospective study was conducted using case files of 335 elderly patients aged ≥ 60 years between 1st January and 31st December  2016, using a data extraction sheet. The 2015 American Geriatrics Society (AGS)-Beers Criteria, and version 2 of the STOPP and START were  subsequently used to identify the Potentially Inappropriate Prescribing (PIP) and Potential Prescribing Omissions (PPOs).Results: Mean age of patients was 69 ± 0.4 years (range 60 - 85 years) and 219 (65.4 %) were females. An average of 4.2 medications per patient prescription was found. The Beers criteria identified 26.5 % PIP, while STOPP criteria identified 57.1 % PIP. START detected 29 PPOs in 15 (4.4 %) of the patient’s prescription. The most prevalent disease conditions were hypertension 235 (70.1 %) and osteoarthritis 64 (19.3 %). Polypharmacy was significantly associated with PIP in both Beers (p = 0.002) and STOPP (p = 0.001) criteria.Conclusion: The prevalence of PIP is high among elderly patients. The STOPP/START criteria identified a higher proportion of PIP among elderly patients compared with Beers criteria. The frequency of PIP should stimulate efforts to curtail potentially inappropriate prescribing and may require the need for advocating for a national criterion to be adopted by health care professionals in Nigeria. Keywords: Potential inappropriate prescribing, Beers’ criteria, STOPP/START criteria, Elderly

scholarly journals Identification of inappropriate prescribing in a Brazilian nursing home using STOPP/START screening tools and the Beers' Criteria

2014 ◽  
Vol 50 (4) ◽  
pp. 911-918 ◽  
Author(s):  
Mariana Martins Gonzaga Nascimento ◽  
Andréia Queiroz Ribeiro ◽  
Mariana Linhares Pereira ◽  
Adriana Cristina Soares ◽  
Antônio Ignácio de Loyola Filho ◽  
...  
Keyword(s):  
Nursing Home ◽  
Medical Records ◽  
Inappropriate Medication ◽  
Inappropriate Prescribing ◽  
Cross Sectional Study ◽  
Screening Tools ◽  
Beers Criteria ◽  
Cross Sectional ◽  
The Past ◽  
Prescribing Omissions

The objective of this study was to determine the prevalence of Potentially Inappropriate Medication (PIM) use and associated factors, as well as the prevalence of Prescribing Omissions (PO). A cross-sectional study was conducted in a philanthropic Brazilian nursing home involving 46 individuals aged 60 years or older. The following information was collected from medical records and drug prescriptions: gender, age, health conditions and drugs used in the past thirty days. PIM and PO were identified according to the Beers' Criteria and the STOPP/START screening tools. Over one third (37%) of the population used at least one PIM according to the Beers' Criteria (n=17) and 60.9% according to the STOPP tool. A significant association was found between polypharmacy (use of five or more drugs) and use of PIM according to the Beers' Criteria, but not according to the STOPP. Eight residents (17.4%) were exposed to eight PO. This study allowed the diagnosis of a concerning drug utilization profile with use of a high number of PIMs. Thus, there is an evident need to implement strategies for improving geriatric prescription.

scholarly journals Development of a Risk Assessment Tool for Falls Prevention in Hospital Inpatients Based on the Medication Appropriateness Index (MAI) and Modified Beer's Criteria

2012 ◽  
Vol 3 (1) ◽  
Author(s):  
Martha M. Rumore ◽  
Georgeta Vaidean
Keyword(s):  
Medication Review ◽  
Assessment Tool ◽  
Inappropriate Prescribing ◽  
Falls Prevention ◽  
Beers Criteria ◽  
Medication Appropriateness Index ◽  
Assessment Index ◽  
Advantages And Disadvantages ◽  
Hospital Inpatients ◽  
Elderly Hospitalized Patients

Medication review is an essential component of comprehensive falls assessment. A medication review by pharmacists can assist to identify and notify prescribers of medications that require adjustment or discontinuation. Beers Criteria and the Medication Assessment Index (MAI) are explicit and implicit inappropriate prescribing (IP) tools, respectively. While the Beers Criteria has been applied to falls prevention, the MAI has not. Developing alternative falls prevention tools has been spurned by both the desire to overcome limitations of the Beers Criteria, coupled with the need for implicit criteria which includes consideration for patient äóñspecific clinical judgement. A literature search and review of the Beers Criteria and MAI tools revealed advantages and disadvantages of each. Using combined explicit/implicit falls assessment criteria using both the Beers Criteria and MAI as a framework, a falls specific inappropriate prescribing (FASPIP) tool for use in elderly hospitalized patients was developed. Validation of the FASPIP in the clinical setting is needed.   Type: Review

scholarly journals Pharmacoepidemiological Analysis of the Use of Drugs in Elderly Patients With Hypertension at a Stationary Level

2020 ◽  
Vol 6 (6) ◽  
pp. 108-114
Author(s):  
A. Satybaldieva ◽  
A. Sharaeva
Keyword(s):  
Elderly Patients ◽  
Older People ◽  
Patient Treatment ◽  
Side Reactions ◽  
Beers Criteria ◽  
Great Care ◽  
Case Histories ◽  
Trade Names ◽  
Stationary Level ◽  
Indications For Use

This article analyzes the frequency of prescribing drugs to elderly patients according to Beers criteria, who are in-patient treatment in the therapeutic department. 50 case histories of patients over 65 years of age over a three-month period were analyzed: from January to March 2019. The appointment sheets were analyzed using the Beers list to identify the destination of potentially not recommended drugs. According to the results of the study, it was revealed that on average 8±2 drugs were prescribed to one patient at a time, all drugs were prescribed under trade names, some of them were prescribed without indications for use. In 14 patients (28.4%), 25 non-recommended drugs were identified in different categories according to Beers criteria, where 13.6 potentially identified recommended drugs were detected in 13.6% of patients, and 5 potentially not recommended drugs were prescribed in 5.7% of patients, the use of which should be avoided in older people with certain diseases, and in 9.1% of patients 8 drugs were identified that should be used in older people with great care. All of the above allowed us to conclude that in the treatment of elderly patients, potentially not recommended medications are very often prescribed, because of which there is a risk of developing unwanted side reactions.

Potentially inappropriate medications in elderly patients with heart failure: Beers Criteria‐based study

2020 ◽  
Vol 28 (6) ◽  
pp. 652-659 ◽  
Author(s):  
Mariam Zahwe ◽  
Hadi Skouri ◽  
Samar Rachidi ◽  
Maurice Khoury ◽  
Samar Noureddine ◽  
...  
Keyword(s):  
Heart Failure ◽  
Elderly Patients ◽  
Beers Criteria ◽  
Potentially Inappropriate Medications ◽  
Patients With Heart Failure ◽  
Inappropriate Medications

Inappropriate Prescribing for Elderly Patients

JAMA ◽  
2002 ◽  
Vol 287 (10) ◽  
pp. 1264-1265 ◽  
Author(s):  
J. M. Ruscin
Keyword(s):  
Elderly Patients ◽  
Inappropriate Prescribing

A Closer Look at the 2015 Beers Criteria

2016 ◽  
Vol 30 (4) ◽  
pp. 419-424 ◽  
Author(s):  
Rebecca L. Salbu ◽  
Judith Feuer
Keyword(s):  
Elderly Patients ◽  
Health Care Providers ◽  
Clinical Judgment ◽  
The Elderly ◽  
Specific Information ◽  
Beers Criteria ◽  
Potentially Inappropriate Medications ◽  
Care Providers ◽  
Inappropriate Medications ◽  
Made In

The Beers Criteria identifies potentially inappropriate medications for patients who are 65 years of age and older. Initially published in 1991, the criteria have been updated multiple times, most recently in 2015. The Beers Criteria is a tool designed to alert health-care providers to the potential harms of specific medications so they may better tailor therapeutic regimens for their elderly patients. The expert panel of the 2015 update made changes to a number of previous recommendations and provided 2 new tables on select drug interactions and select medications requiring renal dose adjustments. The purpose of this review is to provide additional details and rationale behind selected noteworthy changes within the 2015 criteria. Specific information is provided on the changes in recommendations for the use of nitrofurantoin, antiarrhythmics, nonbenzodiazepine receptor agonist hypnotics, antipsychotics, and proton pump inhibitors in the elderly. Additional comparisons are made between the 2012 recommendations and newer recommendations made in the 2015 update, along with rationale for the change. This review will allow practitioners to apply the 2015 Beers Criteria and integrate their clinical judgment when evaluating and selecting drug therapy for elderly patients.

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