Potentially inappropriate medications use in community-based aged patients: a cross-sectional study using 2012 Beers criteria

Rony Zeenny, Samira Wakim, Yara-Mary Kuyumjian Department of Pharmacy Practice, School of Pharmacy, Lebanese American University, Byblos, Lebanon Background: Potentially inappropriate medications (PIMs) should be avoided by the aged population. The aim of this study was to assess the prevalence of...

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Autores principales:	Zeenny R, Wakim S, Kuyumjian YM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Beers criteria elderly inappropriate drug outpatients potentially inappropriate medication Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/fe43af3e43dd459681cc887624cb70e0
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spelling	oai:doaj.org-article:fe43af3e43dd459681cc887624cb70e02021-12-02T01:12:08ZPotentially inappropriate medications use in community-based aged patients: a cross-sectional study using 2012 Beers criteria1178-1998https://doaj.org/article/fe43af3e43dd459681cc887624cb70e02017-01-01T00:00:00Zhttps://www.dovepress.com/potentially-inappropriate-medications-use-in-community-based-aged-pati-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Rony Zeenny, Samira Wakim, Yara-Mary Kuyumjian Department of Pharmacy Practice, School of Pharmacy, Lebanese American University, Byblos, Lebanon Background: Potentially inappropriate medications (PIMs) should be avoided by the aged population. The aim of this study was to assess the prevalence of PIMs among Lebanese aged outpatients using Beers criteria of 2012. The secondary objectives were to identify the correlates of the PIMs use and to compare the PIMs prevalence rates as per Beers criteria of 2003 and 2012.Methods: This cross-sectional observational study was conducted among aged outpatients of different accredited community pharmacies across Lebanon. Data were collected through a validated questionnaire. The Beers criteria of 2012 were used to evaluate PIMs. The association between PIMs used and independent variables were analyzed by logistic regression. The differences between PIMs use according to Beers criteria 2003 and 2012 were calculated using chi-squared and McNemar’s tests.Results: A total of 248 outpatients were analyzed. We identified 112 (45.2%) out of 248 patients taking PIMs. The leading classes of medications identified to cause PIMs were those acting on the central nervous system (71.4%). The factors associated with PIMs use were age, osteoporosis, Alzheimer/dementia, diabetes, and alcohol consumption. PIMs use increased significantly between Beers criteria 2003 and 2012 (Chi-squared test, P<0.001; McNemar’s test, P<0.001).Conclusion: Our study showed a high prevalence of PIMs use in Lebanon, which is associated with various correlates. Education of health care providers and medication review should be considered to improve medication safety of older adults. Keywords: Beers criteria, aged, inappropriate drug prescriptions, outpatients, potentially inappropriate medicationZeenny RWakim SKuyumjian YMDove Medical PressarticleBeers criteriaelderlyinappropriate drugoutpatientspotentially inappropriate medicationGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 65-73 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Beers criteria elderly inappropriate drug outpatients potentially inappropriate medication Geriatrics RC952-954.6
spellingShingle	Beers criteria elderly inappropriate drug outpatients potentially inappropriate medication Geriatrics RC952-954.6 Zeenny R Wakim S Kuyumjian YM Potentially inappropriate medications use in community-based aged patients: a cross-sectional study using 2012 Beers criteria
description	Rony Zeenny, Samira Wakim, Yara-Mary Kuyumjian Department of Pharmacy Practice, School of Pharmacy, Lebanese American University, Byblos, Lebanon Background: Potentially inappropriate medications (PIMs) should be avoided by the aged population. The aim of this study was to assess the prevalence of PIMs among Lebanese aged outpatients using Beers criteria of 2012. The secondary objectives were to identify the correlates of the PIMs use and to compare the PIMs prevalence rates as per Beers criteria of 2003 and 2012.Methods: This cross-sectional observational study was conducted among aged outpatients of different accredited community pharmacies across Lebanon. Data were collected through a validated questionnaire. The Beers criteria of 2012 were used to evaluate PIMs. The association between PIMs used and independent variables were analyzed by logistic regression. The differences between PIMs use according to Beers criteria 2003 and 2012 were calculated using chi-squared and McNemar’s tests.Results: A total of 248 outpatients were analyzed. We identified 112 (45.2%) out of 248 patients taking PIMs. The leading classes of medications identified to cause PIMs were those acting on the central nervous system (71.4%). The factors associated with PIMs use were age, osteoporosis, Alzheimer/dementia, diabetes, and alcohol consumption. PIMs use increased significantly between Beers criteria 2003 and 2012 (Chi-squared test, P<0.001; McNemar’s test, P<0.001).Conclusion: Our study showed a high prevalence of PIMs use in Lebanon, which is associated with various correlates. Education of health care providers and medication review should be considered to improve medication safety of older adults. Keywords: Beers criteria, aged, inappropriate drug prescriptions, outpatients, potentially inappropriate medication
format	article
author	Zeenny R Wakim S Kuyumjian YM
author_facet	Zeenny R Wakim S Kuyumjian YM
author_sort	Zeenny R
title	Potentially inappropriate medications use in community-based aged patients: a cross-sectional study using 2012 Beers criteria
title_short	Potentially inappropriate medications use in community-based aged patients: a cross-sectional study using 2012 Beers criteria
title_full	Potentially inappropriate medications use in community-based aged patients: a cross-sectional study using 2012 Beers criteria
title_fullStr	Potentially inappropriate medications use in community-based aged patients: a cross-sectional study using 2012 Beers criteria
title_full_unstemmed	Potentially inappropriate medications use in community-based aged patients: a cross-sectional study using 2012 Beers criteria
title_sort	potentially inappropriate medications use in community-based aged patients: a cross-sectional study using 2012 beers criteria
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/fe43af3e43dd459681cc887624cb70e0
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_version_	1718403295543820288

Potentially inappropriate medications use in community-based aged patients: a cross-sectional study using 2012 Beers criteria

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