Potentially inappropriate medication use in Indian elderly: Comparison of Beers' criteria and Screening Tool of Older Persons' potentially inappropriate Prescriptions

Abstract

Overall, BC is useful in the detection of PIM use independent of diagnoses/conditions, whereas STOPP is useful in detection of PIM use considering the diagnoses/conditions. There is a need for consensus on using the tool for detection of PIM use in Indian elderly.

Frequency of Inappropriate Medication Prescription in Hospitalized Elderly Patients in Italy

“…Despite these variations, this prevalence was considerably lower than those observed in the United States with values of 49% among elderly admitted with 1 or more of 7 common medical diagnoses [32] and of 55.3% in those undergoing surgery during their hospitalization [33] and of 56.1% in acute care hospitals in Japan [34]. In the current study, it has been found a higher rate of inappropriate prescriptions than have been reported in a tertiary care teaching hospital in India with a frequency of 24.6% [35], in wards of the Department of Medicine in Croatia with 22.1% [31], and among older emergency department patients in the United States with 16.8% [40] and in Taiwan with 14.7% [41]. Explanations of the differences probably may also be related to the organization of the health care delivery systems and to the availability of social support services.…”

“…Indeed, in the already mentioned study conducted in Japan, although in the univariate analysis, the inappropriate drugs were prescribed more frequently in patients with a higher median hospitalized days and in surgical wards [34]. Moreover, in India the results of a logistic regression model showed that multiple diseases and a higher use of drugs during the hospital stay predicted potentially inappropriateness [35]. The significantly higher rate of inappropriate prescription among those who have received at least one inappropriate drug prior to hospital admission is in accordance with the observation amongst hospitalized elderly in South Australia [30].…”

“…Experiences from various countries and healthcare systems in recent years have attempted to study the appropriate medicines prescription among elderly in different settings mainly ambulatory primary care [6], [12]–[16], nursing homes [17]–[20], community [21]–[26], and hospital [27]–[30]. To the authors' knowledge, however, there are little prevalence data in the literature regarding the prescription of inappropriate medicines among hospitalized elderly patients [31]–[35]. Therefore, the overall goals of this cross-sectional investigation were to examine the potentially inappropriate medications prescription during the hospitalization and to identify the factors that may influence such inappropriateness among elderly in Italy.…”

Use of potentially inappropriate medications in hospitalized elderly at a teaching hospital: A comparison between Beers 2003 and 2012 criteria

“…[22] Our findings are however consistent with an earlier study which included patients from different specialties and both outdoor as well as hospitalized patients, reporting PIM use in 27.25% patients as compared to 28.57% in our study using Beers 2003 criteria;[16] but somewhat higher compared to a recent study reporting 24.6% prevalence in hospitalized elderly. [23] We have previously reported inappropriate prescribing in 23.58% of elderly patients in the outpatient setting using Beers 2003 criteria. [14]…”

Inappropriate Medication Use Among Underserved Elderly African Americans

“…While there are several studies in the United States and other countries that examined the prevalence and correlates of PIM use among aged populations (Gallagher, Barry, Ryan, Hartigan, & O’Mahony, 2008; Locatelli, Lira, Torraga, & Paes, 2010; Monroe, Carter, & Parish, 2011; Niwata, Yamada, & Ikegami, 2006; Opondo et al, 2012; Singh, 2012; Skaar & O’Connor, 2012; van der Hooft et al, 2005; Vishwas, Harugeri, Parthasarathi, & Ramesh, 2012), to the best of our knowledge, there are no studies that specifically consider the elderly African American community (Vishwas et al, 2012), although African Americans comprise 12% of the U.S. population 65 and older (Vincent et al, 2010). …”