Evaluation and assessment of prescribing patterns in elderly patients using two explicit criteria based screening tools: (The PRISCUS list and STOPP/START criteria)

Rational prescribing can prevent medication errors and the associated harm, especially in old age patients, as they are being frequently prescribed with drugs for various ailments. Moreover, polypharmacy is a common practice in them. Therefore, a significant threat of potential drug interactions and...

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Bibliographic Details
Published in:Pakistan journal of medical sciences 2018-12, Vol.34 (6), p.1357-1362
Main Authors: Butool, Irum, Nazir, Shabnam, Afridi, Maryam, Shah, Syed Majid
Format: Article
Language:English
Subjects:
Age
Aging
Data collection
Drug therapy
Drugs
Elderly patients
Family medical history
Geriatrics
Medical screening
Medication errors
Nonsteroidal anti-inflammatory drugs
Older people
Original
Patients
Pharmacy
Polypharmacy
Prescription drugs
Prescription writing
Statistical analysis
Systematic review
Type 2 diabetes
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Summary:Rational prescribing can prevent medication errors and the associated harm, especially in old age patients, as they are being frequently prescribed with drugs for various ailments. Moreover, polypharmacy is a common practice in them. Therefore, a significant threat of potential drug interactions and adverse effects exist. Current study focuses on assessment of Potentially Inappropriate Medication (PIM) in medication prescribed to old age patients. It was a forty days, descriptive and observational study conducted from August 15 2017 to September 25 2017 in which prescriptions given to elderly patients were reimbursed for collecting various sets of information. In order to assess PIMs (in Pakistani Set-up), STOPP/START addition 2008 (including examples of misprescribing, overprescribing and under prescribing) and the PRISCUS list (misprescribing and overprescribing) was used. Statistical analysis of results was performed using SPSS version 20. One hundred forty six cases of PIMs (including incorrect prescribing, overprescribing and under prescribing) were detected. It included incorrect prescriptions 104, under prescription 28 and over prescriptions 14. NSAIDS accounted for most incorrect prescriptions followed by benzodiazepines. Mostly NSAIDS were used for myalgia, backache and rheumatoid disorders. Current findings highlighted Potentially Inappropriate Prescribing (PIP), particularly of NSAIDs and under prescribing of statins in cardiovascular diseases. Study findings suggest introducing pertinent interventions at the stages involved in prescribing, prescription review and its follow up to reduce the PIP and PIMs.
ISSN:1682-024X
1681-715X
DOI:10.12669/pjms.346.14928