Potentially inappropriate medication use and frailty phenotype among community‐dwelling older adults: A population‐based study

2019 ◽  
Vol 28 (21-22) ◽  
pp. 3914-3922 ◽  
Author(s):  
Alisson Fernandes Bolina ◽  
Nayara Cândida Gomes ◽  
Gianna Fiori Marchiori ◽  
Maycon Sousa Pegorari ◽  
Darlene Mara dos Santos Tavares
Keyword(s):  
Older Adults ◽  
Inappropriate Medication ◽  
Medication Use ◽  
Population Based ◽  
Community Dwelling ◽  
Potentially Inappropriate Medication ◽  
Frailty Phenotype ◽  
Population Based Study ◽  
Inappropriate Medication Use ◽  
Community Dwelling Older Adults

scholarly journals Determinants of Potentially Inappropriate Medication Use among Community-Dwelling Older Adults

2016 ◽  
Vol 52 (4) ◽  
pp. 1534-1549 ◽  
Author(s):  
G. Edward Miller ◽  
Eric M. Sarpong ◽  
Amy J. Davidoff ◽  
Eunice Y. Yang ◽  
Nicole J. Brandt ◽  
...  
Keyword(s):  
Older Adults ◽  
Inappropriate Medication ◽  
Medication Use ◽  
Community Dwelling ◽  
Potentially Inappropriate Medication ◽  
Inappropriate Medication Use ◽  
Community Dwelling Older Adults

scholarly journals Potentially inappropriate medication use: the Beers’ Criteria used among older adults with depressive symptoms

2013 ◽  
Vol 5 (3) ◽  
pp. 182 ◽  
Author(s):  
Daphne Lee ◽  
Nataly Martini ◽  
Simon Moyes ◽  
Karen Hayman ◽  
Monica Zolezzi ◽  
...  
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Older People ◽  
Inappropriate Medication ◽  
Medication Use ◽  
Community Dwelling ◽  
Potentially Inappropriate Medication ◽  
Beers Criteria ◽  
Chi Square ◽  
Inappropriate Medication Use

INTRODUCTION: The ageing population means prescribing for chronic illnesses in older people is expected to rise. Comorbidities and compromised organ function may complicate prescribing and increase medication-related risks. Comorbid depression in older people is highly prevalent and complicates medication prescribing decisions. AIM: To determine the prevalence of potentially inappropriate medication use in a community-dwelling population of older adults with depressive symptoms. METHODS: The medications of 191 community-dwelling older people selected because of depressive symptoms for a randomised trial were reviewed and assessed using the modified version of the Beers’ Criteria. The association between inappropriate medication use and various population characteristics was assessed using Chi-square statistics and logistic regression analyses. RESULTS: The mean age was 81 (±4.3) years and 59% were women. The median number of medications used was 6 (range 1–21 medications). The most commonly prescribed potentially inappropriate medications were amitriptyline, dextropropoxyphene, quinine and benzodiazepines. Almost half (49%) of the participants were prescribed at least one potentially inappropriate medication; 29% were considered to suffer significant depressive symptoms (Geriatric Depression Scale =5) and no differences were found in the number of inappropriate medications used between those with and without significant depressive symptoms (Chi-square 0.005 p=0.54). DISCUSSION: Potentially inappropriate medication use, as per the modified Beers’ Criteria, is very common among community-dwelling older people with depressive symptoms. However, the utility of the Beers’ Criteria is lessened by lack of clinical correlation. Ongoing research to examine outcomes related to apparent inappropriate medication use is needed. KEYWORDS: Depression; depressive symptoms; inappropriate prescribing; older adults

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