Assessing Potentially Inappropriate Medications in Nursing Home Residents by NORGEP-NH Criteria
Background: Nursing home residents often have several conditions that necessitate the use of multiple medicines. This study investigates the prevalence of potentially inappropriate medications (PIMs) and its associations with sex, age, number of medicines, and study location (rural/urban). Methods:...
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| Format: | Article |
| Language: | English |
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MDPI AG
2019-03-01
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| Series: | Pharmacy |
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| Online Access: | http://www.mdpi.com/2226-4787/7/1/26 |
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| author | Kjell H. Halvorsen Sinan Kucukcelik Beate H. Garcia Kristian Svendsen |
| author_facet | Kjell H. Halvorsen Sinan Kucukcelik Beate H. Garcia Kristian Svendsen |
| author_sort | Kjell H. Halvorsen |
| collection | DOAJ |
| description | Background: Nursing home residents often have several conditions that necessitate the use of multiple medicines. This study investigates the prevalence of potentially inappropriate medications (PIMs) and its associations with sex, age, number of medicines, and study location (rural/urban). Methods: A cross-sectional study of long-term care residents from six nursing homes. Data was collected from medical records. We identified PIMs by applying the NORGEP-NH criteria. We conducted a Poisson regression analysis to investigate the association between the number of PIMs and sex, age, number of medicines, and study location. Results: We included 103 (18.4%) of 559 residents (68.0% women; mean age 83.2 years, mean number of daily used medicines 7.2 (SD = 3.6)). We identified PIMs in 56% of the residents (mean number = 1.10, SD = 1.26). In adjusted analyses, residents ≥80 years had 0.43 fewer PIMs compared to residents <80 years (p < 0.05). Residents using 4–6, 7–9, and 10+ medicines had on average 0.73, 1.06, and 2.11 more PIMs compared to residents using 0–3 medicines (p < 0.001), respectively. Conclusion: PIM use is prevalent among nursing home residents and is significantly associated with age and number of medicines. Our findings suggest a modest decrease in residents using PIMs compared to previous studies. Nevertheless, prescribing quality in nursing home residents in both urban and rural areas is still of great concern. |
| first_indexed | 2024-04-13T07:49:22Z |
| format | Article |
| id | doaj.art-a94f9a3084264f2ea505ddf96bbce381 |
| institution | Directory Open Access Journal |
| issn | 2226-4787 |
| language | English |
| last_indexed | 2024-04-13T07:49:22Z |
| publishDate | 2019-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pharmacy |
| spelling | doaj.art-a94f9a3084264f2ea505ddf96bbce3812022-12-22T02:55:35ZengMDPI AGPharmacy2226-47872019-03-01712610.3390/pharmacy7010026pharmacy7010026Assessing Potentially Inappropriate Medications in Nursing Home Residents by NORGEP-NH CriteriaKjell H. Halvorsen0Sinan Kucukcelik1Beate H. Garcia2Kristian Svendsen3Department of Pharmacy, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø N-9037, NorwayDepartment of Pharmacy, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø N-9037, NorwayDepartment of Pharmacy, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø N-9037, NorwayDepartment of Pharmacy, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø N-9037, NorwayBackground: Nursing home residents often have several conditions that necessitate the use of multiple medicines. This study investigates the prevalence of potentially inappropriate medications (PIMs) and its associations with sex, age, number of medicines, and study location (rural/urban). Methods: A cross-sectional study of long-term care residents from six nursing homes. Data was collected from medical records. We identified PIMs by applying the NORGEP-NH criteria. We conducted a Poisson regression analysis to investigate the association between the number of PIMs and sex, age, number of medicines, and study location. Results: We included 103 (18.4%) of 559 residents (68.0% women; mean age 83.2 years, mean number of daily used medicines 7.2 (SD = 3.6)). We identified PIMs in 56% of the residents (mean number = 1.10, SD = 1.26). In adjusted analyses, residents ≥80 years had 0.43 fewer PIMs compared to residents <80 years (p < 0.05). Residents using 4–6, 7–9, and 10+ medicines had on average 0.73, 1.06, and 2.11 more PIMs compared to residents using 0–3 medicines (p < 0.001), respectively. Conclusion: PIM use is prevalent among nursing home residents and is significantly associated with age and number of medicines. Our findings suggest a modest decrease in residents using PIMs compared to previous studies. Nevertheless, prescribing quality in nursing home residents in both urban and rural areas is still of great concern.http://www.mdpi.com/2226-4787/7/1/26nursing home residentspotentially inappropriate medicationsquality of healthpharmacoepidemiologydrug therapyexplicit criteria lists |
| spellingShingle | Kjell H. Halvorsen Sinan Kucukcelik Beate H. Garcia Kristian Svendsen Assessing Potentially Inappropriate Medications in Nursing Home Residents by NORGEP-NH Criteria Pharmacy nursing home residents potentially inappropriate medications quality of health pharmacoepidemiology drug therapy explicit criteria lists |
| title | Assessing Potentially Inappropriate Medications in Nursing Home Residents by NORGEP-NH Criteria |
| title_full | Assessing Potentially Inappropriate Medications in Nursing Home Residents by NORGEP-NH Criteria |
| title_fullStr | Assessing Potentially Inappropriate Medications in Nursing Home Residents by NORGEP-NH Criteria |
| title_full_unstemmed | Assessing Potentially Inappropriate Medications in Nursing Home Residents by NORGEP-NH Criteria |
| title_short | Assessing Potentially Inappropriate Medications in Nursing Home Residents by NORGEP-NH Criteria |
| title_sort | assessing potentially inappropriate medications in nursing home residents by norgep nh criteria |
| topic | nursing home residents potentially inappropriate medications quality of health pharmacoepidemiology drug therapy explicit criteria lists |
| url | http://www.mdpi.com/2226-4787/7/1/26 |
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