Critérios de Avaliação da Prescrição de Medicamentos Potencialmente Inapropriados no Doente Geriátrico: Comparação de Resultados Práticos
Background: There are several criteria to evaluate the prescription of potentially inappropriate medicines (MPI) for elderly patients. Beers criteria are the most frequently used tool but to the same group of patients, there are few comparative studies to evaluate MPI. Aims: To compare the frequenc...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Formifarma, LDA.
2013-01-01
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| Series: | Revista Portuguesa de Farmacoterapia |
| Subjects: | |
| Online Access: | http://revista.farmacoterapia.pt/index.php/rpf/article/view/56 |
| _version_ | 1818193961638952960 |
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| author | Maria A. Soares Fernando Fernandez-Llimós José Cabrita José Morais |
| author_facet | Maria A. Soares Fernando Fernandez-Llimós José Cabrita José Morais |
| author_sort | Maria A. Soares |
| collection | DOAJ |
| description | Background: There are several criteria to evaluate the prescription of potentially inappropriate medicines (MPI) for elderly patients. Beers criteria are the most frequently used tool but to the same group of patients, there are few comparative studies to evaluate MPI.
Aims: To compare the frequency of potentially inappropriate prescribing using several explicit criteria: Zhan, McLeod, HEDIS 2006 and Beers.
Methods: Cross sectional study, involving elderly patients from Lisbon region recruited in 15 pharmacies. Medicines were evaluated by 4 explicit criteria: Zhan, McLeod, 2006 HEDIS and 2003 Beers (2008 Portuguese operationalization). It was performed a descriptive analysis of frequencies with central dispersion.
Results: 570 patients, with mean age of 74.1 years old (SD=6.4), were enrolled, with 71.7% of which being female. Studied patients were taking a total of 3,021 medicines that were analyzed. By Beers criteria, 37.0% of patients used, at least, one MPI being inappropriate, 9.5% of all of the medicines; by Zhan criteria, 12.8% of the patients were taking, at least, one MPI being inappropriate, 2.8% of the studied medicines; by McLeod criteria, 14.9% of the patients were taking, at least, one MPI, being inappropriate 3.1% of the medicines and by HEDIS 2006 criteria, 13.5% of the patients were taking, at least, one MPI, being inappropriate 2.8% of the medicines.
Conclusions: 2003 Beers criteria (2008 Portuguese operationalization) were able to identify more patients
taking potentially inappropriate medicines and more inappropriate medicines than the other studied criteria. |
| first_indexed | 2024-12-12T00:54:43Z |
| format | Article |
| id | doaj.art-f63a268326cb4ead930ffc89ab8db2e3 |
| institution | Directory Open Access Journal |
| issn | 1647-354X 2183-7341 |
| language | English |
| last_indexed | 2024-12-12T00:54:43Z |
| publishDate | 2013-01-01 |
| publisher | Formifarma, LDA. |
| record_format | Article |
| series | Revista Portuguesa de Farmacoterapia |
| spelling | doaj.art-f63a268326cb4ead930ffc89ab8db2e32022-12-22T00:43:55ZengFormifarma, LDA.Revista Portuguesa de Farmacoterapia1647-354X2183-73412013-01-0151713Critérios de Avaliação da Prescrição de Medicamentos Potencialmente Inapropriados no Doente Geriátrico: Comparação de Resultados PráticosMaria A. Soares0Fernando Fernandez-Llimós1José Cabrita2José Morais3Professora auxiliar do Departamento de Sócio-Farmácia da Faculdade de Farmácia da Universidade de Lisboa. iMed.UL.Professor auxiliar convidado do Departamento de Sócio-Farmácia da Faculdade de Farmácia da Universidade de Lisboa. iMed.UL.Professor catedrático do Departamento de Sócio-Farmácia da Faculdade de Farmácia da Universidade de Lisboa. iMed.UL.Professor catedrático do Departamento de Farmacologia e Farmacoterapia da Faculdade de Farmácia da Universidade de Lisboa. iMed.UL.Background: There are several criteria to evaluate the prescription of potentially inappropriate medicines (MPI) for elderly patients. Beers criteria are the most frequently used tool but to the same group of patients, there are few comparative studies to evaluate MPI. Aims: To compare the frequency of potentially inappropriate prescribing using several explicit criteria: Zhan, McLeod, HEDIS 2006 and Beers. Methods: Cross sectional study, involving elderly patients from Lisbon region recruited in 15 pharmacies. Medicines were evaluated by 4 explicit criteria: Zhan, McLeod, 2006 HEDIS and 2003 Beers (2008 Portuguese operationalization). It was performed a descriptive analysis of frequencies with central dispersion. Results: 570 patients, with mean age of 74.1 years old (SD=6.4), were enrolled, with 71.7% of which being female. Studied patients were taking a total of 3,021 medicines that were analyzed. By Beers criteria, 37.0% of patients used, at least, one MPI being inappropriate, 9.5% of all of the medicines; by Zhan criteria, 12.8% of the patients were taking, at least, one MPI being inappropriate, 2.8% of the studied medicines; by McLeod criteria, 14.9% of the patients were taking, at least, one MPI, being inappropriate 3.1% of the medicines and by HEDIS 2006 criteria, 13.5% of the patients were taking, at least, one MPI, being inappropriate 2.8% of the medicines. Conclusions: 2003 Beers criteria (2008 Portuguese operationalization) were able to identify more patients taking potentially inappropriate medicines and more inappropriate medicines than the other studied criteria.http://revista.farmacoterapia.pt/index.php/rpf/article/view/56Elderlypotentially inappropriate medicinesBeersZhanMcLeodHEDIS 2006 |
| spellingShingle | Maria A. Soares Fernando Fernandez-Llimós José Cabrita José Morais Critérios de Avaliação da Prescrição de Medicamentos Potencialmente Inapropriados no Doente Geriátrico: Comparação de Resultados Práticos Revista Portuguesa de Farmacoterapia Elderly potentially inappropriate medicines Beers Zhan McLeod HEDIS 2006 |
| title | Critérios de Avaliação da Prescrição de Medicamentos Potencialmente Inapropriados no Doente Geriátrico: Comparação de Resultados Práticos |
| title_full | Critérios de Avaliação da Prescrição de Medicamentos Potencialmente Inapropriados no Doente Geriátrico: Comparação de Resultados Práticos |
| title_fullStr | Critérios de Avaliação da Prescrição de Medicamentos Potencialmente Inapropriados no Doente Geriátrico: Comparação de Resultados Práticos |
| title_full_unstemmed | Critérios de Avaliação da Prescrição de Medicamentos Potencialmente Inapropriados no Doente Geriátrico: Comparação de Resultados Práticos |
| title_short | Critérios de Avaliação da Prescrição de Medicamentos Potencialmente Inapropriados no Doente Geriátrico: Comparação de Resultados Práticos |
| title_sort | criterios de avaliacao da prescricao de medicamentos potencialmente inapropriados no doente geriatrico comparacao de resultados praticos |
| topic | Elderly potentially inappropriate medicines Beers Zhan McLeod HEDIS 2006 |
| url | http://revista.farmacoterapia.pt/index.php/rpf/article/view/56 |
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