An evaluation of the appropriateness of prescribing and frailty in elderly patients using STOPP criteria and Frailty Index in tertiary care teaching hospital

People above 65 years of age would amount to 10.7% of total population of India by 2021. India has acquired the label of ‘an ageing nation’ with 7.7% of its population being more than 60 years old. Geriatric patients are exposed to potentially inappropriate medications (PIMs) thus strategies to imp...

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Autores principales:	Sweta Nariya, Ajita Pillai, Sneha Agravat
Formato:	article
Lenguaje:	EN
Publicado:	PAGEPress Publications 2021
Materias:	STOPP criteria potentially inappropriate medication Frailty Index. Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/a6cd8f381ff64114ab8297e757a61840
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spelling	oai:doaj.org-article:a6cd8f381ff64114ab8297e757a618402021-11-25T21:40:45ZAn evaluation of the appropriateness of prescribing and frailty in elderly patients using STOPP criteria and Frailty Index in tertiary care teaching hospital10.4081/gc.2021.98452465-11092465-1397https://doaj.org/article/a6cd8f381ff64114ab8297e757a618402021-11-01T00:00:00Zhttps://www.pagepressjournals.org/index.php/gc/article/view/9845https://doaj.org/toc/2465-1109https://doaj.org/toc/2465-1397 People above 65 years of age would amount to 10.7% of total population of India by 2021. India has acquired the label of ‘an ageing nation’ with 7.7% of its population being more than 60 years old. Geriatric patients are exposed to potentially inappropriate medications (PIMs) thus strategies to improve quality of life and safety of prescribing is needed. One such explicit criteria tool is ‘Screening Tool of Older person’s Potentially inappropriate Prescriptions’ (STOPP) criteria. For older individuals, frailty plays a decisive role. Frailty assessment is useful for identification of risk stratifications to assist in clinical decision makings. Hence, this study is aimed to assess the percentage of PIM using STOPP criteria and correlation between PIMS and Frailty Index (FI) in elderly patients in our setting. An observational study was done in 60 patients in department of medicine at tertiary care teaching hospital. Demographic details, diagnosis and current medications were recorded in Microsoft excel 2016. PIMs based on STOPP criteria version 2 and FI suggested by Searle et al. was calculated and analyzed. Spearman rank correlation test was used to check the correlation between FI and PIM. Out of 60 prescriptions, 21 prescriptions with PIM were found. Most common drugs prescribed as PIM were Aspirin, calcium, ceftriaxone, multivitamin B complex and furosemide. FI was analyzed by using 34 variables. Value of FI was between 0.03 to 0.17. Spearman Rank correlation test showed direct low degree of significant correlation between FI and PIM with correlation (r) value of 0.1602 (P value=0.02). 35% of prescriptions were having at least one PIM in our study and we found that there was direct association between FI and PIM which will help us to reduce potential medication errors, drug interactions and adverse reactions. Sweta NariyaAjita PillaiSneha AgravatPAGEPress PublicationsarticleSTOPP criteriapotentially inappropriate medicationFrailty Index.GeriatricsRC952-954.6ENGeriatric Care, Vol 7, Iss 3 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	STOPP criteria potentially inappropriate medication Frailty Index. Geriatrics RC952-954.6
spellingShingle	STOPP criteria potentially inappropriate medication Frailty Index. Geriatrics RC952-954.6 Sweta Nariya Ajita Pillai Sneha Agravat An evaluation of the appropriateness of prescribing and frailty in elderly patients using STOPP criteria and Frailty Index in tertiary care teaching hospital
description	People above 65 years of age would amount to 10.7% of total population of India by 2021. India has acquired the label of ‘an ageing nation’ with 7.7% of its population being more than 60 years old. Geriatric patients are exposed to potentially inappropriate medications (PIMs) thus strategies to improve quality of life and safety of prescribing is needed. One such explicit criteria tool is ‘Screening Tool of Older person’s Potentially inappropriate Prescriptions’ (STOPP) criteria. For older individuals, frailty plays a decisive role. Frailty assessment is useful for identification of risk stratifications to assist in clinical decision makings. Hence, this study is aimed to assess the percentage of PIM using STOPP criteria and correlation between PIMS and Frailty Index (FI) in elderly patients in our setting. An observational study was done in 60 patients in department of medicine at tertiary care teaching hospital. Demographic details, diagnosis and current medications were recorded in Microsoft excel 2016. PIMs based on STOPP criteria version 2 and FI suggested by Searle et al. was calculated and analyzed. Spearman rank correlation test was used to check the correlation between FI and PIM. Out of 60 prescriptions, 21 prescriptions with PIM were found. Most common drugs prescribed as PIM were Aspirin, calcium, ceftriaxone, multivitamin B complex and furosemide. FI was analyzed by using 34 variables. Value of FI was between 0.03 to 0.17. Spearman Rank correlation test showed direct low degree of significant correlation between FI and PIM with correlation (r) value of 0.1602 (P value=0.02). 35% of prescriptions were having at least one PIM in our study and we found that there was direct association between FI and PIM which will help us to reduce potential medication errors, drug interactions and adverse reactions.
format	article
author	Sweta Nariya Ajita Pillai Sneha Agravat
author_facet	Sweta Nariya Ajita Pillai Sneha Agravat
author_sort	Sweta Nariya
title	An evaluation of the appropriateness of prescribing and frailty in elderly patients using STOPP criteria and Frailty Index in tertiary care teaching hospital
title_short	An evaluation of the appropriateness of prescribing and frailty in elderly patients using STOPP criteria and Frailty Index in tertiary care teaching hospital
title_full	An evaluation of the appropriateness of prescribing and frailty in elderly patients using STOPP criteria and Frailty Index in tertiary care teaching hospital
title_fullStr	An evaluation of the appropriateness of prescribing and frailty in elderly patients using STOPP criteria and Frailty Index in tertiary care teaching hospital
title_full_unstemmed	An evaluation of the appropriateness of prescribing and frailty in elderly patients using STOPP criteria and Frailty Index in tertiary care teaching hospital
title_sort	evaluation of the appropriateness of prescribing and frailty in elderly patients using stopp criteria and frailty index in tertiary care teaching hospital
publisher	PAGEPress Publications
publishDate	2021
url	https://doaj.org/article/a6cd8f381ff64114ab8297e757a61840
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An evaluation of the appropriateness of prescribing and frailty in elderly patients using STOPP criteria and Frailty Index in tertiary care teaching hospital

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