Increasing Burden of Aging Population on Health Services Utilization: A Myth or Reality in a Country with Predominantly Young Population

Aina, Felix Olukayode; Fadare, Joseph; Deji-Dada, Olabisi Olamide; Agbesanwa, Tosin Anthony

doi:10.33879/amh.122.2020.07023

Cited by 5 publications

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confidence: 99%

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Potentially Inappropriate Medications in Hospitalized Older Patients in Tabuk, Saudi Arabia Using 2023 Beers Criteria: A Retrospective Multi-Centric Study

Prabahar,

Alhawiti,

Yosef

et al. 2024

JMDH

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Purpose Older persons are frequently prescribed several medications; therefore, inappropriate medication prescriptions are common. Prescribing potentially inappropriate medications (PIMs) poses a serious risk and hence, we aimed to assess the PIMs in older patients in Tabuk, using the 2023 Beers criteria. Patients and Methods A retrospective cross-sectional study was carried out, including older persons ≥65 years of age admitted in two government hospitals from June 2022 to May 2023, and prescribed with five or more medications. PIMs were assessed using the 2023 Beers criteria. Descriptive analysis was performed for the categorical and continuous variables. Logistic regression was used to assess the influence of age, gender, number of medications and comorbidities on PIMs using SPSS version 27. Results The study included 420 patients. The mean age of the participants was 75.52 ± 8.70 years (range, 65–105 years). There was a slightly higher proportion of females (52%). The prevalence of PIMs was 81.43%, where 35.41% were prescribed one PIM, 26.48% were prescribed two PIMs, and 17.32% were prescribed three PIMs. The proportion of medications considered potentially inappropriate among older patients was 70.11%, and proton pump inhibitors were the most commonly prescribed medication (52.99%). The proportion of medications to be used with caution was 19.55%, with diuretics being the most frequently administered medication (91.43%). Gender and comorbidity did not influence PIMs, but age and number of medications significantly influenced the likelihood of PIMs. Conclusion PIMs are prevalent among older people and are significantly associated with age and multiple medications. Caution should be exercised while prescribing medications to older persons. Frequent audits should be performed to assess PIMs, and clinicians should be informed of the same to avoid serious outcomes associated with PIMs. Interventions designed to reduce PIM need to be initiated.

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Section: Introductionmentioning

confidence: 99%

“…2 With regard to the healthcare system, the older population has an increased morbidity burden. 3 They are prone to multiple disease conditions and are therefore prescribed multiple medications. 4 Prescribing multiple medications is termed polypharmacy and is commonly prescribed to older adults.…”

Section: Introductionmentioning

confidence: 99%

Potentially Inappropriate Medications in Hospitalized Older Patients in Tabuk, Saudi Arabia Using 2023 Beers Criteria: A Retrospective Multi-Centric Study

Prabahar,

Alhawiti,

Yosef

et al. 2024

JMDH

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“…According to the United Nations, the population aged 65 or older in Saudi Arabia is estimated to reach 18.4% (10 million) by 2050 [ 1 ]. The rise of the elderly population increases the morbidity burden in the healthcare system [ 2 ]. Older adults are more likely to be characterized by multiple comorbidities or with two or more chronic conditions and aging-related conditions (e.g., frailty) that need continuous care [ 3 , 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Potentially Inappropriate Medications among Elderly with Frailty in a Tertiary Care Academic Medical Centre in Saudi Arabia

et al. 2022

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This study aims to assess the prevalence of potentially inappropriate medications (PIMs) and to analyze the relationship between the PIMs and frailty among inpatient older adults aged 65 and above in Saudi Arabia. A retrospective cross-sectional study design was utilized during the period between April 2021 and April 2022 of all patients aged 65 years and above admitted in a public tertiary hospital in Saudi Arabia. Data on the number of medications and the use of PIMs were assessed using Beers’ criteria while the frailty status was assessed using the “FRAIL Scale”. Of the 358 patient files that were reviewed, 52.2% were males, 60.9% were aged 65–74 years, and 82% were married. The prevalence of robust, prefrail, and frail patients was 5%, 36.9%, and 58.1%, respectively. According to the 2019 Beers criteria, a total of 45.8% (n= 164) participants identified as using PIMs. Compared to the non-PIMs group, the PIMs group demonstrated significant differences in the number of medications (p < 0.001), the number of comorbidities (p < 0.05), and the frailty score (p < 0.001). The strongest predictor of PIM use was a number of comorbidities, recording an odds ratio of 2.86, (95% CI 1.21–6.77, p < 0.05). Our results show that the use of PIM was significantly associated with frail older adults with multiple comorbidities and in patients with polypharmacy. A clear assessment and evaluation tool may improve the quality of drug treatment in the older adult population, particularly in frail patients.

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Biopsychosocial Perspectives of Loneliness and Social Isolation

Chen

2022

Archives of Gerontology and Geriatrics

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Increasing Burden of Aging Population on Health Services Utilization: A Myth or Reality in a Country with Predominantly Young Population

Cited by 5 publications

References 0 publications

Potentially Inappropriate Medications in Hospitalized Older Patients in Tabuk, Saudi Arabia Using 2023 Beers Criteria: A Retrospective Multi-Centric Study

Potentially Inappropriate Medications in Hospitalized Older Patients in Tabuk, Saudi Arabia Using 2023 Beers Criteria: A Retrospective Multi-Centric Study

Potentially Inappropriate Medications among Elderly with Frailty in a Tertiary Care Academic Medical Centre in Saudi Arabia

Biopsychosocial Perspectives of Loneliness and Social Isolation

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