Prevalence and Factors with Potentially Inappropriate Prescribing among Older Surgical Outpatients in China: A Nationwide Cross-sectional Study in 100 Hospitals DOI Creative Commons
Fangyuan Tian, Zhaoyan Chen, Jinyuan Zhang

и другие.

Journal of Epidemiology and Global Health, Год журнала: 2025, Номер 15(1)

Опубликована: Март 12, 2025

Older outpatients face a heightened risk of potentially inappropriate prescribing (PIP). However, there is paucity evidence evaluating PIP in older attending surgical outpatient departments China using Chinese-specific criteria. This study aimed to assess the prevalence and identify associated factors within this population. A cross-sectional design was employed, utilizing prescription data from across 100 hospitals seven Chinese cities between January December 2021. assessed based on criteria, multivariate logistic regression analysis performed factors. Trends were analyzed average annual percent change (AAPC) via joinpoint regression. total 357,135 prescriptions for analyzed. The according criteria 13.06%. five most commonly identified medications (PIMs) doxazosin, clopidogrel, tolterodine, estazolam, concurrent use more than two NSAIDs, which together accounted 52.73% all PIMs. From December, exhibited slight decrease, 13.29 13.21% (AAPC: -0.278%). Logistic revealed that such as tertiary-level hospital status, polypharmacy, pain, sleep disorders, hypertension, benign prostatic hyperplasia, stone disease positively with outpatients. found while among relatively low, attention needed widespread certain Although numerous studies have explored (PIP) patients, contributing remain unclear. Additionally, specific group are not well defined. reveals top account Furthermore, being treated hospital, age ≥ 80, polypharmacy be

Язык: Английский

Prevalence and Factors with Potentially Inappropriate Prescribing among Older Surgical Outpatients in China: A Nationwide Cross-sectional Study in 100 Hospitals DOI Creative Commons
Fangyuan Tian, Zhaoyan Chen, Jinyuan Zhang

и другие.

Journal of Epidemiology and Global Health, Год журнала: 2025, Номер 15(1)

Опубликована: Март 12, 2025

Older outpatients face a heightened risk of potentially inappropriate prescribing (PIP). However, there is paucity evidence evaluating PIP in older attending surgical outpatient departments China using Chinese-specific criteria. This study aimed to assess the prevalence and identify associated factors within this population. A cross-sectional design was employed, utilizing prescription data from across 100 hospitals seven Chinese cities between January December 2021. assessed based on criteria, multivariate logistic regression analysis performed factors. Trends were analyzed average annual percent change (AAPC) via joinpoint regression. total 357,135 prescriptions for analyzed. The according criteria 13.06%. five most commonly identified medications (PIMs) doxazosin, clopidogrel, tolterodine, estazolam, concurrent use more than two NSAIDs, which together accounted 52.73% all PIMs. From December, exhibited slight decrease, 13.29 13.21% (AAPC: -0.278%). Logistic revealed that such as tertiary-level hospital status, polypharmacy, pain, sleep disorders, hypertension, benign prostatic hyperplasia, stone disease positively with outpatients. found while among relatively low, attention needed widespread certain Although numerous studies have explored (PIP) patients, contributing remain unclear. Additionally, specific group are not well defined. reveals top account Furthermore, being treated hospital, age ≥ 80, polypharmacy be

Язык: Английский

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