Impact of acute geriatric care in elderly patients according to the Screening Tool of Older Persons' Prescriptions/Screening Tool to Alert doctors to Right Treatment criteria in northern France

Abstract

Acute geriatric hospitalization in France improves prescriptions in terms of potentially inappropriate medication, but has no impact on potential prescription omissions. Further studies must be carried out to see if STOPP/START could be used as a tool in French prescription.

Influence of hospitalization on potentially inappropriate prescribing among elderly patients in a Malaysian community

“…The use of benzodiazepines -in patients at risk of falls-was reported as a common PIM in several studies [17,21,35,36], whereas it was not encountered in the present study. This may be due to the low use of benzodiazepines in older patients in Malaysia, which was also reported by other researchers from a nursing home in Malaysia [37].…”

Monitoring of Potentially Inappropriate Prescriptions in Older Inpatients: A French Multicenter Study

“…Other studies have also described a decrease in PIPs during hospitalization. According to the list of PIPs considered and the intervention, these decreases ranged from 3% to 24% . In our study, reassessment led to a decrease of 11% to 22% of PIPs.…”

“…Previous studies described the incidence of PIPs and the effect of interventions to reduce them. Intervention studies confirmed that some PIPs could be removed (3–24%). Alternatively, some could not be stopped and so were “prescribed knowingly.” The challenge is now to identify the reasons why a PIP should be maintained and to determine whether the risk of these prescriptions can be managed by monitoring their use.…”

“…The rate was 34% in Northern Ireland and 49% in Italy using the Beers Criteria and 32% in Belgium using the STOPP criteria . In France, PIM prescription was estimated to be 28.2% according to the Beers Criteria, 18.3% to 66% using the Laroche list and 69% of participants using the STOPP criteria …”

“…13 In France, PIM prescription was estimated to be 28.2% according to the Beers Criteria, 14 18.3% to 66% 15,16 using the Laroche list and 69% of participants using the STOPP criteria. 17 The concept of PIP suggests that there are situations that justify their use. Previous studies described the incidence of PIPs and the effect of interventions to reduce them.…”