Geriatric Medication Management Using STOPP/START Criteria on Polypharmacy in a Multicentre Hospital: A Systematic Review DOI

Sneha Gowthaman,

C. Dhandapani

Опубликована: Апрель 25, 2025

Background: Patients 65 years of age and above are known as a special risk group for drug prescribing. They face high challenges like multi-comorbidities, polypharmacy, Potentially Inappropriate Prescribing, the increasing adverse reactions. The Screening Tool to Alert Doctors Right Treatment (START) Older Persons's Prescriptions (STOPP) criteria widely used detect Prescribing (PIM) prescribing omissions despite their effectiveness this tool is not explored. This systematic review aims assess prevalence PIP, errors, impact START/STOPP interventions on clinical outcomes in older adults.  Methods: From January 2015 2025, search was conducted PubMed, Google Scholar, Cochrane Library, Scopus. Cross-sectional, Observational, Cohort, Randomized controlled trials studies involving patients aged were included. data extraction followed PRISMA guidelines. included PIP prevalence, types hospitalizations. Results: A total 36 articles assessed, number sample size 4,449 patients’ evaluated through analysis 9 latest years. potentially inappropriate medication ranged from 19% 85.1% both national international reports. potential observed 4.2% 81.4% cases, mostly hospital settings. Conclusion: highlights among adults guided by STAT/STOPP criteria. multidisciplinary approach healthcare providers necessary obtain optimization. To achieve future goals integration STOPP/START with electronic prescription systems can automate reviews reduce errors.

Язык: Английский

Geriatric Medication Management Using STOPP/START Criteria on Polypharmacy in a Multicentre Hospital: A Systematic Review DOI

Sneha Gowthaman,

C. Dhandapani

Опубликована: Апрель 25, 2025

Background: Patients 65 years of age and above are known as a special risk group for drug prescribing. They face high challenges like multi-comorbidities, polypharmacy, Potentially Inappropriate Prescribing, the increasing adverse reactions. The Screening Tool to Alert Doctors Right Treatment (START) Older Persons's Prescriptions (STOPP) criteria widely used detect Prescribing (PIM) prescribing omissions despite their effectiveness this tool is not explored. This systematic review aims assess prevalence PIP, errors, impact START/STOPP interventions on clinical outcomes in older adults.  Methods: From January 2015 2025, search was conducted PubMed, Google Scholar, Cochrane Library, Scopus. Cross-sectional, Observational, Cohort, Randomized controlled trials studies involving patients aged were included. data extraction followed PRISMA guidelines. included PIP prevalence, types hospitalizations. Results: A total 36 articles assessed, number sample size 4,449 patients’ evaluated through analysis 9 latest years. potentially inappropriate medication ranged from 19% 85.1% both national international reports. potential observed 4.2% 81.4% cases, mostly hospital settings. Conclusion: highlights among adults guided by STAT/STOPP criteria. multidisciplinary approach healthcare providers necessary obtain optimization. To achieve future goals integration STOPP/START with electronic prescription systems can automate reviews reduce errors.

Язык: Английский

Процитировано

0