Potentially inappropriate medications (PIMS) in the elderly patient: prevalence study in a tertiary hospital in Brazil

Authors

  • ANA HELENA DIAS PEREIRA DOS SANTOS ULBRI
  • CATIANE TIECHER CUSINATO
  • ROBERTA DA SILVA GUAHYBA

DOI:

https://doi.org/10.30968/rbfhss.2017.083.003

Abstract

Introduction: The high prevalence of diseases in the elderly person is responsible for the high use of medications. Several strategies have been developed to reduce the impact of prescriptions on the elderly population, including the detection of Potentially Inappropriate Medications (PIM). PIM is associated with increased morbidity, mortality, and health resource expenditures. There is a wide variety of studies describing the prevalence of PIM prescribed for the elderly person, with Beers’ Criteria being the most used to determine the selection of drugs to be considered potentially inappropriate. Goals: To evaluate the prevalence of potentially inappropriate medications (PIMs) prescribed in elderly inpatients in a tertiary hospital. Methods: Retrospective analysis was performed for cases of older patients admitted between January 2014 and December 2014. Prescriptions were assessed for the use of potentially inappropriate medications in geriatric patients by using American Geriatric Society Beer’s criteria (2012) a Laroche List (2007). Results: Of the 695 elderly people in the study population, 639 (91,9%) received at least one PIM prescription in 2014. The most commonly prescribed PIM were metoclopramide (54,2 %), diazepam (9,7%) and scopolamine/hyoscine (7,1%). Conclusions: This study shows a high prevalence of PIM prescriptions for the elderly population, requiring politics for reduction and rationalization of prescribing these drugs.

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Published

2019-03-11

How to Cite

1.
ULBRI AHDPDS, CUSINATO CT, GUAHYBA RDS. Potentially inappropriate medications (PIMS) in the elderly patient: prevalence study in a tertiary hospital in Brazil. Rev Bras Farm Hosp Serv Saude [Internet]. 2019Mar.11 [cited 2023Feb.8];8(3). Available from: https://rbfhss.org.br/sbrafh/article/view/295

Issue

Section

ARTIGOS PUBLICADOS