Prevalence and Associated Predictors of Inappropriate and Omitted Medications Prescribing in Older Patients with Advanced Cancer: A Cross-Sectional Study DOI Creative Commons
Ahmad Al‐Azayzih,

Enas Bani-Ahmad,

Anan S. Jarab

и другие.

Clinical Interventions in Aging, Год журнала: 2023, Номер Volume 18, С. 1653 - 1661

Опубликована: Окт. 1, 2023

This study aimed to identify the prevalence and significant predictors of both potentially inappropriate medications (PIMs) omitted (POMs) events among geriatric patients with advanced cancer using STOPP (Screening Tool Older Persons' Prescriptions) START Alert Right Treatment) criteria.This retrospective cross-sectional included aged ≥65 years who were diagnosed treated for stage cancer. Patients' medical charts evaluated polypharmacy (≥5 medications) as well potential PIMs POMs incidents their associated predictors. SPSS software was used perform analysis. Multivariate logistic regression models factors dependent variables including use POMs.Electronic medication 510 evaluated. The average age 73.25 years, 264 (51.8%) males. number prescribed per patient 10.3 (range-2-26). Polypharmacy present in 85.9% patients, while excessive 52.2%. At least one PIM encountered 253 (49.6%), at POM all owing omission pneumococcal vaccines. most common opioid analgesics, followed by benzodiazepines, hypnotics. Additionally, medications, excluding vaccinations, cardiovascular agents laxatives on regular analgesics. diagnosis solid compared hematological increased odds occurrence (ORs = 1.293 (p < 0.001) 3.022 0.03), respectively), coexistence hypertension (OR 2.286 0.007)).Polypharmacy, PIMs, highly prevalent older based definition STOPP/START Criteria.

Язык: Английский

Factors influencing communication issues during hospital discharge for older adults in 11 high-income countries: a secondary analysis of the 2021 International Health Policy Survey DOI Creative Commons
Preshit Ambade,

Zach Hoffman,

Tyler A Vest

и другие.

BMJ Open, Год журнала: 2025, Номер 15(1), С. e089430 - e089430

Опубликована: Янв. 1, 2025

Objectives To determine the prevalence of hospital discharge communication problems with older adults, compare them across countries and factors associated those problems. Design Secondary analysis cross-sectional survey data. Setting 2021 Commonwealth Fund International Health Policy (IHP) Survey Older Adults conducted 11 high-income countries, including Australia, Canada, France, Germany, Netherlands, New Zealand, Norway, Sweden, Switzerland, UK USA. Participants 4501 respondents aged 60 in USA 65 all other included who were hospitalised at least once past 2 years before answered communication-related questions. Primary outcome measure Our primary is poor (PDC), a composite variable three IHP questions related to written information, doctor follow-up medicines discussed. Results Overall PDC rate was 19.2% (864/4501), although rates varied by nation. highest Norway (31.5%) lowest (7.5%). Gender, education, income presence one chronic disease not statistically PDC. Conclusions Given high observed, teams leadership should carefully examine during process ensure minimisation care gaps, particularly regarding medication, since this most reported problem.

Язык: Английский

Процитировано

0
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
Prevalence and predictors of polypharmacy in elderly patients discharged from a tertiary care teaching hospital in Swat, Pakistan: A retrospective cross-sectional study DOI Open Access
Shah Faisal, Junaidi Khotib, Elida Zairina

и другие.

Pharmacy Education, Год журнала: 2024, Номер 24(3), С. 1 - 6

Опубликована: Май 1, 2024

Background: The use of polypharmacy in the elderly has been subject much consideration recent years. However, its prevalence and risk factors are yet to be properly investigated Pakistan. Objective: study at discharge Method: A retrospective cross-sectional patients' medical profiles for year 2021 was performed, that met inclusion criteria were included. Results: total sample size 800, 51.9% patients received discharge. authors found female gender (OR = 0.469) comparatively less receiving polypharmacy. Furthermore, with an increased length stay medication hospital 1.1295, OR 17.189, respectively) have a high diagnosed peripheral vascular disease 4.689), cerebrovascular accident 2.764), chronic obstructive pulmonary 3.748), asthma 2.321), diabetes mellitus 2.754) had higher risks Conclusion: Pakistan identified several could help reduce by targeting vulnerable groups.

Язык: Английский

Процитировано

0
Medications Associated with Geriatric Syndromes and Prescribing Patterns: The Impact of Excessive Polypharmacy in Older Adult Patients DOI Creative Commons
Ahmad Al‐Azayzih, Walid Al‐Qerem, Sayer Al‐Azzam

и другие.

Therapeutics and Clinical Risk Management, Год журнала: 2024, Номер Volume 20, С. 741 - 748

Опубликована: Окт. 1, 2024

To assess the prescribing patterns of medications associated with geriatric syndromes (MAGS) in older adult patients multiple comorbidities and to identify factors that may increase risk MAGS same population.

Язык: Английский

Процитировано

0
Prevalence and Associated Predictors of Inappropriate and Omitted Medications Prescribing in Older Patients with Advanced Cancer: A Cross-Sectional Study DOI Creative Commons
Ahmad Al‐Azayzih,

Enas Bani-Ahmad,

Anan S. Jarab

и другие.

Clinical Interventions in Aging, Год журнала: 2023, Номер Volume 18, С. 1653 - 1661

Опубликована: Окт. 1, 2023

This study aimed to identify the prevalence and significant predictors of both potentially inappropriate medications (PIMs) omitted (POMs) events among geriatric patients with advanced cancer using STOPP (Screening Tool Older Persons' Prescriptions) START Alert Right Treatment) criteria.This retrospective cross-sectional included aged ≥65 years who were diagnosed treated for stage cancer. Patients' medical charts evaluated polypharmacy (≥5 medications) as well potential PIMs POMs incidents their associated predictors. SPSS software was used perform analysis. Multivariate logistic regression models factors dependent variables including use POMs.Electronic medication 510 evaluated. The average age 73.25 years, 264 (51.8%) males. number prescribed per patient 10.3 (range-2-26). Polypharmacy present in 85.9% patients, while excessive 52.2%. At least one PIM encountered 253 (49.6%), at POM all owing omission pneumococcal vaccines. most common opioid analgesics, followed by benzodiazepines, hypnotics. Additionally, medications, excluding vaccinations, cardiovascular agents laxatives on regular analgesics. diagnosis solid compared hematological increased odds occurrence (ORs = 1.293 (p < 0.001) 3.022 0.03), respectively), coexistence hypertension (OR 2.286 0.007)).Polypharmacy, PIMs, highly prevalent older based definition STOPP/START Criteria.

Язык: Английский

Процитировано

1