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A review on potentially inappropriate drug prescribing using beers criteria 2015
Abstract
Abstract
Objective
To review the literature of potentially inappropriate drug prescribing in elderly patients using Beers Criteria (BC) 2015
Findings
Keywords including potentially inappropriate drug prescribing, Beers criteria 2015, elderly patients were used to search in Pub Med from January 2018 to April 2019.Ten relevant articles were found that applied Beers Criteria 2015 in various healthcare settings.
Prevalence, nature and extent of inappropriate drug usage and factors associated with such inappropriate drugs were reviewed. Prevalence of inappropriate drug usage ranged from 4.69% in community pharmacies to 63% among tertiary care hospitals. The most commonly prescribed inappropriate medications include Proton Pump Inhibitors (PPIs), Non-Steroidal Anti-inflammatory Drugs (NSAIDs), Opioid analgesics, cardiovascular agents, and Central Nervous System (CNS) medications such as Benzodiazepines, Hypnotics and Anti Psychotics.
Factors associated with inappropriate drug use include polypharmacy, prolonged hospitalization, and chronic diseases. Potentially inappropriate drug use resulted in various drug-related problems like Adverse Drug Reactions (ADRs), increased risk of falls, fractures and rehospitalisation.
Summary
A significantly higher prevalence of Potentially Inappropriate Medication (PIM) use was observed among hospitalized patients with a high prevalence of polypharmacy. These results necessitate a nationwide assessment. The responsible bodies need to adopt strategies so that they can reduce or overcome the prevailed PIM use among elderly patients. These findings can be instrumental in developing targeted interventions to influence future prescribing practices.
Keywords
References
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