Study of Non-Appropriate Medications Among Elderly Patients in Hospitals Affiliated with IUMS Using The STOPP Screening Tool in 2013

This study aimed to investigate the prescribing of inappropriate medications in elderly patients

Zahra Kavosi; Leila Vali; Laleh Mahmoudi; Mahya Mirzaie

2016

Scholarcy highlights

  • This study aimed to investigate the prescribing of inappropriate medications in elderly patients
  • Patients often suffer from several chronic diseases and continuously have to consume different drugs, recent studies showed that 80 percent of the elderly suffer from at least one chronic disease that this group of the population develop the risk of disability and death more than others while since many chronic diseases cannot be cured, effective management of chronic diseases is important
  • Given the importance of the growing elderly population in the country as well as the prevalence of inappropriate prescribing of drugs in this group of patients, this study examines the status of inappropriate medications in elderly patients 60 year old and older hospitalized in teaching and non- teaching hospitals Iran using STOPP screening tool in Year 2013
  • MATERIALS AND METHODS This cross- sectional study was conducted with 400 patients aged 60 year and older in the common hospitalization sections of teaching(127 patients of Firouzgar Hospital and 128 patients of Rasoul Agram Hospital) and non- teaching hospitals(55 patients of Shohadai 7Tir Hospital and 90 patients of Firoozabadi Hospital) affiliated with IUMS, while the sample size was divided in ratio based on the duration of hospitalization of elderly admitted in four hospitals within six months.Profiles of the elderly patients were selected by simple random sampling; the number of samples specified for each hospital was divided per 6 month to allow equal random evaluation for each month in the profiles of a hospitalized section
  • Most prescribed drugs of patients between 10 and 20 pharmaceutical drugs in teaching hospitals and non- teaching hospitals have been reported between 45.5% and 40 % in the, respectively. 46.1% and 23.6% elderly people have received at least one inappropriate medication the STOPP criterion as 1 and 1 respectively
  • Due to high levels of potentially dangerous drugs by the elderly in this study and similar studies in the country and impose huge costs of drug complications, mortality and hospitalizations due to these medications, clinical pharmacists and doctors and nurses need more training The medication can be prescribed and hospitals by taking measures such as drug-therapy committee, formed for the study and prevention of Advers Drug Reactions and designing a system Formulary for Hospitalized patients, especially the age group of the elderly can a more effective role while living in the hospital for patients, their families and society will require more monitoring by the authorities there

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