Adherence to Beers Criteria in Geriatrics: A Retrospective Study in a Saudi Teaching Hospital

Alshehri, Samah; Alshibani, Mohannad; Magboul, Ghaydaa; Albandar, Albandari; Nasser, Roaa; Yaqoub, Roaya M; Alzuhayri, Jumana; Aljabri, Ahmed

doi:10.3390/geriatrics5040097

Cited by 7 publications

(12 citation statements)

References 22 publications

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“…The current study witnessed male predominance (55%) which was found to be similar to other studies 10,11 whereas Zhang H, et al 12 reported predominance of female. The mean age ± SD of the present study population (70.67 ±5.43 years) was found to be less than reported earlier as 75.17 ± 7.66 years 11 and 75.3±7.3 years 12 and higher than reported by Narvekar RS, et al 13 (68.88 years). Most of the patients were found in the age group of 65-70 years followed by 71-75 years and 76-80 years.…”

Section: Total Number Of Pims = 216supporting

confidence: 91%

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Analysis of Medication Charts of Hospitalized Elderly Patients: A Cross-sectional Study

Sultana¹,

Bharath²,

Goud³

et al. 2023

Ind. J. Pharm. Pract.

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Objectives:The purpose of conducting the present study was to determine the frequency of PIMs among medication charts of hospitalized elderly patients based on Beer's Criteria, 2019. Materials and Methods: In a tertiary care hospital, a descriptive, observational cross-sectional study was conducted over the course of six months. The study comprised both male and female in-patients aged 65 years and above. A pre-structured data collection form was used to gather information from the patient case files. Results: A total of 100 prescriptions were included. The most prevalent disease among the elderly was found to be hypertension (15.51%) followed by type 2 diabetes mellitus (14.4%) and sepsis (6.92%). The most commonly prescribed medications among the elderly in the present study were insulin followed by proton-pump inhibitors, atorvastatin, aspirin, and furosemide. A total of 216 potentially inappropriate medications were identified in 87 prescriptions. The use of proton-pump inhibitors was found to be the leading PIM to be avoided followed by insulin. The most common PIM to be used with caution was found to be diuretics followed by aspirin. Conclusion: The study findings show that the frequency of prescribing PIMs is high among hospitalized elderly patients. The use of such medications can be controlled by adhering to the updated Beers criteria.

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Section: Total Number Of Pims = 216supporting

confidence: 91%

“…The study population's mean age ± SD was 70.67 ±5.43 years. The majority of patients were found to be between the ages of 65 and 70 years (59), followed by 71 to 75 years (24) and 76 to 80 years (11) as shown in Table 1. The average length of hospital stay during the study period was 4.81±2.27 days.…”

Section: Resultsmentioning

confidence: 99%

Analysis of Medication Charts of Hospitalized Elderly Patients: A Cross-sectional Study

Sultana¹,

Bharath²,

Goud³

et al. 2023

Ind. J. Pharm. Pract.

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“…PPIs such as pantoprazole are the most commonly used and prescribed drug in hospitals and that should be avoided in the elderly. The main reason for this is that the use of PPI is associated with the risk of Clostridium difficile infection and the increased likelihood of bone loss and fractures [3,9,11]. The present study shows that a total of 216 (80.59%) patients out of 268 were reported to prescribe pantoprazole during admission whereas 149 patients (60%) were prescribed during discharge.…”

Section: Discussionmentioning

confidence: 76%

“…(2020) [3], Alshehri et al (2020) [11], as PPI, insulin sliding scale, and benzodiazepines were enlisted as the most frequent PIMs.…”

Section: Discussionmentioning

confidence: 99%

Prescription Adherence to Ags Beers Criteria and Medication Adherence in Geriatric Patients

AHMED

MAHESH

DHAKNE

et al. 2022

Asian J Pharm Clin Res

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Objective: The objective of the present study was to determine the prescription pattern and adherence to Beers Criteria 2019 and also evaluate the reasons for non-adherence and ways to promote adherence among geriatric patients. Methods: Retrospective as well as prospective data were collected using a predesigned form. A total of 268 patients aged 60 years and above were involved in the study. The prescriptions were analyzed for appropriateness using AGS Beers Criteria 2019 and the 8-Item Morisky Medication Adherence Scale was used for the assessment of medication adherence. Results: The majority of the patients were in the age group of 65–69 years with a mean age of 73.6 ± 5.05 years with a male preponderance (67%). Out of 268 sample sizes observed, the maximum number of prescriptions had at least one potential inappropriate medication (PIM) – during admission (40.67%) and discharge (48.50%). The most common PIMs observed were PPIs and insulin sliding scale. The use of NSAIDs (aspirin) in heart and renal failure patients was the generally recognized drug-disease and drug-drug interactions. This study confirms the presence of moderate adherence to the prescription among geriatric patients. Conclusion: Even though Beers Criteria have been commonly used as a reference in many studies, it has not made its way into conventional clinical practice. The prescribers need to make themselves aware of the Beers Criteria and it should be followed for the geriatric population. Hence, this study will help physicians to deliver quality care to elderly patients.

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“…Older patients are at particular risk of PIMs; PIM frequencies from 24% to 92% were reported [ 11 , 28 , 29 , 30 , 31 , 32 ], and these frequencies are different according to the applied criterion of the PIMs classification tool.…”

Section: Discussionmentioning

confidence: 99%

Potentially Inappropriate Medication at Admission and at Discharge: A Geriatric Study in an Internal Medicine Service in Portugal

Perpétuo

Plácido

Aperta

et al. 2023

IJERPH

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Aging is associated with an increase in the prevalence of chronic diseases and polypharmacy, and with the prescription of potentially inappropriate medications (PIMs). This study aimed to analyze the variation in PIMs from hospital admission to discharge. A retrospective cohort study was conducted on inpatients of an internal medicine service. According to the Beers criteria, 80.7% of the patients had been prescribed at least one PIM at admission and 87.2% at discharge; metoclopramide was the most-prescribed PIM from admission to discharge, and acetylsalicylic acid was the most-deprescribed one. According to the STOPP criteria, 49.4% of patients had been prescribed at least one PIM at admission and 62.2% at discharge; quetiapine was the most-prescribed PIM from admission to discharge, and captopril was the most-deprescribed one. According to the EU(7)-PIM list, 51.3% of patients had been prescribed at least one PIM at admission and 70.3% at discharge, and bisacodyl was the most-prescribed PIM from admission to discharge and propranolol the most-deprescribed one. It was found that the number of PIMs at discharge was higher than at admission, suggesting the need to develop a guide with adapted criteria to be applied in an internal medicine service.

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Adherence to Beers Criteria in Geriatrics: A Retrospective Study in a Saudi Teaching Hospital

Cited by 7 publications

References 22 publications

Analysis of Medication Charts of Hospitalized Elderly Patients: A Cross-sectional Study

Analysis of Medication Charts of Hospitalized Elderly Patients: A Cross-sectional Study

Prescription Adherence to Ags Beers Criteria and Medication Adherence in Geriatric Patients

Potentially Inappropriate Medication at Admission and at Discharge: A Geriatric Study in an Internal Medicine Service in Portugal

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