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Gaceta Sanitaria

versión impresa ISSN 0213-9111

Resumen

RIVAS-COBAS, Paula Carlota et al. Characteristics of potentially inappropriate prescribing of drugs in elderly polypathological patients. Gac Sanit [online]. 2017, vol.31, n.4, pp.327-331. ISSN 0213-9111.  http://dx.doi.org/10.1016/j.gaceta.2016.06.013.

Objective:

To analyse potentially inappropriate prescribing (PIP) in elderly polypathological patients (PP).

Method:

Multicentre observational, prospective study of 672 patients aged 75 years and older hospitalised in Internal Medicine between April 2011 and March 2012. The Beers, STOPP-START and ACOVE criteria were used to detect potentially inappropriate prescribing and the results of PP and non-PP patients were compared.

Results:

Of the 672 patients included, 419 (62%) were polypathological, of which 89.3% met PIP criteria versus 79.4% of non-polypathological patients (p <0.01). 40.3% of polypathological patients met at least one Beers criteria, 62.8% at least one STOPP criteria, 62.3% at least one START criteria and 65.6% at least one ACOVE criteria. The rate of potentially inappropriate prescribing was higher in polypathological patients regardless of the tool used.

Conclusions:

Given the high rate of potentially inappropriate prescribing in polypathological patients, strategies to improve prescribing adequacy must be developed.

Palabras clave : Polypathology; Potentially inappropriate prescribing; Inappropriate prescription; Adequacy; Multimorbidity; Elderly; Polypharmacy.

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