A Database Analysis of Potentially Inappropriate Drug Use in an Elderly Medicaid Population

We conducted a cross‐sectional retrospective review of 1996 Kentucky Medicaid Pharmacy claims data to examine the prevalence of potentially inappropriate drug use in 64,832 Medicaid recipients aged 65 years and older who received a prescription. Twenty‐seven percent of patients received at least one...

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Bibliographic Details
Published in:Pharmacotherapy 2000-02, Vol.20 (2), p.221-228
Main Authors: Piecoro, Lance T., Browning, Steven R., Prince, T. Scott, Ranz, Thomas T., Scutchfield, F. Douglas
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Biological and medical sciences
Cross-Sectional Studies
Databases, Factual
Drug Prescriptions - standards
Drug Prescriptions - statistics & numerical data
Female
General pharmacology
Humans
Kentucky
Male
Medicaid - statistics & numerical data
Medical sciences
Medication Errors - statistics & numerical data
Miscellaneous
Nursing Homes
Pharmacology. Drug treatments
Retrospective Studies
Risk Factors
United States
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Summary:We conducted a cross‐sectional retrospective review of 1996 Kentucky Medicaid Pharmacy claims data to examine the prevalence of potentially inappropriate drug use in 64,832 Medicaid recipients aged 65 years and older who received a prescription. Twenty‐seven percent of patients received at least one potentially inappropriate agent. Prevalence was higher for nursing home residents (33%) than for community dwellers (24%). Amitriptyline (7.6%), propoxyphene (6.5%), doxepin (4.0%), and indomethacin (2.3%) were the most prescribed potentially inappropriate agents. Education programs and interventions aimed at optimizing the prescribing and dispensing of the most appropriate drugs are needed.
ISSN:0277-0008
1875-9114
DOI:10.1592/phco.20.3.221.34779