Publicação
Potentially inappropriate medications in a sample of Portuguese nursing home residents: Does the choice of screening tools matter?
| Resumo: | "Background: Potentially inappropriate medications (PIMs) are often found in high proportion among the elderly population. The STOPP criteria have been suggested to detect more PIMs in European elderly than the Beers criteria. Objective: This study aimed to determine the prevalence of PIMs and potential prescribing omissions (PPOs) in a sample of Portuguese nursing homes residents. Setting: Four elderly facilities in mainland Portugal Method: A descriptive cross-sectional study was used. Elderly polypharmacy patients were included in the study and their medication (registered in patient clinical records) analysed using the Beers (2012 original version and 2008 version adapted to Portugal), STOPP (Screening Tool of Older Person's Prescriptions) and START (Screening Tool to Alert doctors to Right Treatment) criteria. Data were analysed using univariate and bivariate descriptive statistics, considering a confidence interval of 95 %. Main outcomeE measures: Prevalence of PIMs and PPOs. Results: The sample included 161 individuals, with a mean age of 84.7 years (SD = 6.35), 68.9 % being female. A total of 807 PIMs and 90 PPOs were identified through the application of the three set of criteria. The prevalence of PIMs using the most recent version of the Beers criteria was 85.1 and 42.1 % for independent and dependent of diagnosis, respectively. The Portuguese adaptation of this same tool indicated a lower prevalence of PIMs, 60.3 and 16.7 %, respectively. The prevalence of PIMs using the STOPP criteria was 75.4 %, whilst the prevalence of PPOs, using START, was 42.9 %. There were significant differences in the mean number of PIMs detected depending on the tool used. (p < 0.001). Conclusions The application of the studied criteria in an elderly sample enabled the identification of a notable amount of PIMs and PPOs, indicating there is room for improving the quality of care. The variation in prevalence indicates careful choice of the tool is a prerequisite for engaging in medication review. Using START/STOPP criteria enabled a more holistic approach to the quality of prescribing in the elderly, highlighting low levels of cardiovascular risk prevention and abuse of psychotropic drugs, aside with system failures largely preventable by electronic prescribing and alert generation." |
|---|---|
| Autores principais: | Costa, Filipa Alves da |
| Outros Autores: | Periquito, Catarina; Carneiro, Maria Clara; Oliveira, Pedro; Fernandes, Ana Isabel; Cavaco-Silva, Patrícia |
| Assunto: | Beers criteria Inappropriate prescriptions Elderly Polypharmacy Pharmaceutical care Nursing homes STOPP criteria START criteria Prescribing omissions Medication review |
| Ano: | 2016 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso restrito |
| Instituição associada: | Egas Moniz - Cooperativa de Ensino Superior, CRL |
| Idioma: | inglês |
| Origem: | Egas Moniz - Cooperativa de Ensino Superior, CRL |
| _version_ | 1868695746853732352 |
|---|---|
| author | Costa, Filipa Alves da |
| author2 | Periquito, Catarina Carneiro, Maria Clara Oliveira, Pedro Fernandes, Ana Isabel Cavaco-Silva, Patrícia |
| author2_role | author author author author author |
| author_facet | Costa, Filipa Alves da Periquito, Catarina Carneiro, Maria Clara Oliveira, Pedro Fernandes, Ana Isabel Cavaco-Silva, Patrícia |
| author_role | author |
| contributor_name_str_mv | Repositório Comum |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Costa, Filipa Alves da\"},{\"Person.name\":\"Periquito, Catarina\"},{\"Person.name\":\"Carneiro, Maria Clara\"},{\"Person.name\":\"Oliveira, Pedro\"},{\"Person.name\":\"Fernandes, Ana Isabel\"},{\"Person.name\":\"Cavaco-Silva, Patrícia\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | Repositório Comum |
| datacite.creators.creator.creatorName.fl_str_mv | Costa, Filipa Alves da Periquito, Catarina Carneiro, Maria Clara Oliveira, Pedro Fernandes, Ana Isabel Cavaco-Silva, Patrícia |
| datacite.date.Accepted.fl_str_mv | 2016-10-01T00:00:00Z |
| datacite.date.available.fl_str_mv | 2016-12-20T17:06:02Z |
| datacite.date.embargoed.fl_str_mv | 2016-12-20T17:06:02Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_16ec |
| datacite.subjects.subject.fl_str_mv | Beers criteria Inappropriate prescriptions Elderly Polypharmacy Pharmaceutical care Nursing homes STOPP criteria START criteria Prescribing omissions Medication review |
| datacite.titles.title.fl_str_mv | Potentially inappropriate medications in a sample of Portuguese nursing home residents: Does the choice of screening tools matter? |
| dc.contributor.none.fl_str_mv | Repositório Comum |
| dc.creator.none.fl_str_mv | Costa, Filipa Alves da Periquito, Catarina Carneiro, Maria Clara Oliveira, Pedro Fernandes, Ana Isabel Cavaco-Silva, Patrícia |
| dc.date.Accepted.fl_str_mv | 2016-10-01T00:00:00Z |
| dc.date.available.fl_str_mv | 2016-12-20T17:06:02Z |
| dc.date.embargoed.fl_str_mv | 2016-12-20T17:06:02Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10400.26/16974 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Springer |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_16ec |
| dc.subject.none.fl_str_mv | Beers criteria Inappropriate prescriptions Elderly Polypharmacy Pharmaceutical care Nursing homes STOPP criteria START criteria Prescribing omissions Medication review |
| dc.title.fl_str_mv | Potentially inappropriate medications in a sample of Portuguese nursing home residents: Does the choice of screening tools matter? |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | "Background: Potentially inappropriate medications (PIMs) are often found in high proportion among the elderly population. The STOPP criteria have been suggested to detect more PIMs in European elderly than the Beers criteria. Objective: This study aimed to determine the prevalence of PIMs and potential prescribing omissions (PPOs) in a sample of Portuguese nursing homes residents. Setting: Four elderly facilities in mainland Portugal Method: A descriptive cross-sectional study was used. Elderly polypharmacy patients were included in the study and their medication (registered in patient clinical records) analysed using the Beers (2012 original version and 2008 version adapted to Portugal), STOPP (Screening Tool of Older Person's Prescriptions) and START (Screening Tool to Alert doctors to Right Treatment) criteria. Data were analysed using univariate and bivariate descriptive statistics, considering a confidence interval of 95 %. Main outcomeE measures: Prevalence of PIMs and PPOs. Results: The sample included 161 individuals, with a mean age of 84.7 years (SD = 6.35), 68.9 % being female. A total of 807 PIMs and 90 PPOs were identified through the application of the three set of criteria. The prevalence of PIMs using the most recent version of the Beers criteria was 85.1 and 42.1 % for independent and dependent of diagnosis, respectively. The Portuguese adaptation of this same tool indicated a lower prevalence of PIMs, 60.3 and 16.7 %, respectively. The prevalence of PIMs using the STOPP criteria was 75.4 %, whilst the prevalence of PPOs, using START, was 42.9 %. There were significant differences in the mean number of PIMs detected depending on the tool used. (p < 0.001). Conclusions The application of the studied criteria in an elderly sample enabled the identification of a notable amount of PIMs and PPOs, indicating there is room for improving the quality of care. The variation in prevalence indicates careful choice of the tool is a prerequisite for engaging in medication review. Using START/STOPP criteria enabled a more holistic approach to the quality of prescribing in the elderly, highlighting low levels of cardiovascular risk prevention and abuse of psychotropic drugs, aside with system failures largely preventable by electronic prescribing and alert generation." |
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| format | article |
| fulltext.url.fl_str_mv | https://comum.rcaap.pt/bitstreams/639abdf7-2916-4447-b9e2-7eb85bcb5486/download |
| id | em_ccd43e22306dfbd6eeee5dc39b263bb0 |
| identifier.url.fl_str_mv | http://hdl.handle.net/10400.26/16974 |
| instacron_str | em |
| institution | Egas Moniz - Cooperativa de Ensino Superior, CRL |
| instname_str | Egas Moniz - Cooperativa de Ensino Superior, CRL |
| language | eng |
| network_acronym_str | em |
| network_name_str | Egas Moniz - Cooperativa de Ensino Superior, CRL |
| oai_identifier_str | oai:comum.rcaap.pt:10400.26/16974 |
| organization_str_mv | urn:organizationAcronym:em |
| person_str_mv | Costa, Filipa Alves da Periquito, Catarina Carneiro, Maria Clara Oliveira, Pedro Fernandes, Ana Isabel Cavaco-Silva, Patrícia |
| publishDate | 2016 |
| publisher.none.fl_str_mv | Springer |
| reponame_str | Egas Moniz - Cooperativa de Ensino Superior, CRL |
| repository_id_str | urn:repositoryAcronym:em |
| service_str_mv | urn:repositoryAcronym:em |
| spelling | engSpringerpt_PT"Background: Potentially inappropriate medications (PIMs) are often found in high proportion among the elderly population. The STOPP criteria have been suggested to detect more PIMs in European elderly than the Beers criteria. Objective: This study aimed to determine the prevalence of PIMs and potential prescribing omissions (PPOs) in a sample of Portuguese nursing homes residents. Setting: Four elderly facilities in mainland Portugal Method: A descriptive cross-sectional study was used. Elderly polypharmacy patients were included in the study and their medication (registered in patient clinical records) analysed using the Beers (2012 original version and 2008 version adapted to Portugal), STOPP (Screening Tool of Older Person's Prescriptions) and START (Screening Tool to Alert doctors to Right Treatment) criteria. Data were analysed using univariate and bivariate descriptive statistics, considering a confidence interval of 95 %. Main outcomeE measures: Prevalence of PIMs and PPOs. Results: The sample included 161 individuals, with a mean age of 84.7 years (SD = 6.35), 68.9 % being female. A total of 807 PIMs and 90 PPOs were identified through the application of the three set of criteria. The prevalence of PIMs using the most recent version of the Beers criteria was 85.1 and 42.1 % for independent and dependent of diagnosis, respectively. The Portuguese adaptation of this same tool indicated a lower prevalence of PIMs, 60.3 and 16.7 %, respectively. The prevalence of PIMs using the STOPP criteria was 75.4 %, whilst the prevalence of PPOs, using START, was 42.9 %. There were significant differences in the mean number of PIMs detected depending on the tool used. (p < 0.001). Conclusions The application of the studied criteria in an elderly sample enabled the identification of a notable amount of PIMs and PPOs, indicating there is room for improving the quality of care. The variation in prevalence indicates careful choice of the tool is a prerequisite for engaging in medication review. Using START/STOPP criteria enabled a more holistic approach to the quality of prescribing in the elderly, highlighting low levels of cardiovascular risk prevention and abuse of psychotropic drugs, aside with system failures largely preventable by electronic prescribing and alert generation."application/pdfpt_PTPotentially inappropriate medications in a sample of Portuguese nursing home residents: Does the choice of screening tools matter?Costa, Filipa Alves daPeriquito, CatarinaCarneiro, Maria ClaraOliveira, PedroFernandes, Ana IsabelCavaco-Silva, PatríciaHostingInstitutionOrganizationalRepositório Comume-mailmailto:comum@rcaap.ptcomum@rcaap.ptISSNIsPartOf2210-7703DOIIsPartOf10.1007/s11096-016-0337-y2016-12-20T17:06:02Z2016-102016-10-01T00:00:00ZHandlehttp://hdl.handle.net/10400.26/16974http://purl.org/coar/access_right/c_16ecrestricted accessBeers criteriaInappropriate prescriptionsElderlyPolypharmacyPharmaceutical careNursing homesSTOPP criteriaSTART criteriaPrescribing omissionsMedication review644736 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_16ecapplication/pdffulltexthttps://comum.rcaap.pt/bitstreams/639abdf7-2916-4447-b9e2-7eb85bcb5486/downloadInternational Journal of Clinical Pharmacy38(5)11031111 |
| spellingShingle | Potentially inappropriate medications in a sample of Portuguese nursing home residents: Does the choice of screening tools matter? Costa, Filipa Alves da Beers criteria Inappropriate prescriptions Elderly Polypharmacy Pharmaceutical care Nursing homes STOPP criteria START criteria Prescribing omissions Medication review |
| status | SINGLETON |
| subject.fl_str_mv | Beers criteria Inappropriate prescriptions Elderly Polypharmacy Pharmaceutical care Nursing homes STOPP criteria START criteria Prescribing omissions Medication review |
| title | Potentially inappropriate medications in a sample of Portuguese nursing home residents: Does the choice of screening tools matter? |
| title_full | Potentially inappropriate medications in a sample of Portuguese nursing home residents: Does the choice of screening tools matter? |
| title_fullStr | Potentially inappropriate medications in a sample of Portuguese nursing home residents: Does the choice of screening tools matter? |
| title_full_unstemmed | Potentially inappropriate medications in a sample of Portuguese nursing home residents: Does the choice of screening tools matter? |
| title_short | Potentially inappropriate medications in a sample of Portuguese nursing home residents: Does the choice of screening tools matter? |
| title_sort | Potentially inappropriate medications in a sample of Portuguese nursing home residents: Does the choice of screening tools matter? |
| topic | Beers criteria Inappropriate prescriptions Elderly Polypharmacy Pharmaceutical care Nursing homes STOPP criteria START criteria Prescribing omissions Medication review |
| topic_facet | Beers criteria Inappropriate prescriptions Elderly Polypharmacy Pharmaceutical care Nursing homes STOPP criteria START criteria Prescribing omissions Medication review |
| url | http://hdl.handle.net/10400.26/16974 |
| visible | 1 |