Prescribing of Potentially Inappropriate Medications to Elderly People by Medical Specialists in Isfahan, Iran
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Abstract:
The goal of this study is to identify the types of potentially inappropriate drugs prescribed by the medical specialists of Isfahan province to elderly patients. A number of 31,254 randomly selected prescriptions from medical specialists of Isfahan province were reviewed for elderly patients who were insured by the Social Security Organization. Three thousand and seven prescriptions were identified and Beers' Criteria was applied to figure out the type of inappropriate medications. The study concluded 49% males and 51% females. Sixty one percent of patients were 65-74 years old and 39% older than 74 years old. Of all the prescriptions reviewed, 24.4% contained inappropriate medications. The ten most common medications detected in the prescriptions were: Naproxen (18.4%), fluoxetine (8.3%), clidinium C (7.2%), indomethacin (7.2%), chlordiazepoxide (5.8%), doxepin (4.76%), dipyridamole (4.4%), amitriptyline (4.27%), methocarbamol (4.15%) and piroxicam (3.88%). The results are comparable to what has been reported in the literature. This is also in accordance with the national drug consumption as NSAIDs are heavily used throughout Iran. Due to the extent of inappropriateness of medicine use in the elderly population, we need to define a strategy to curtail this problem including educational classes for physicians and launching national geriatrics residency programs.
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prescribing of potentially inappropriate medications to elderly people by medical specialists in isfahan, iran
the goal of this study is to identify the types of potentially inappropriate drugs prescribed by the medical specialists of isfahan province to elderly patients. a number of 31,254 randomly selected prescriptions from medical specialists of isfahan province were reviewed for elderly patients who were insured by the social security organization. three thousand and seven prescriptions were identi...
full textPrescribing of potentially inappropriate medications to elderly people.
OBJECTIVE To estimate the prevalence and predictors of medications deemed potentially inappropriate for the elderly among family physicians' patients aged 65 and older (seniors) taking multiple prescribed medications. METHODS Forty-eight randomly selected family practices in 16 towns and cities in Southern Ontario, Canada and 889 of their senior patients were recruited into a randomized trial...
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full textPrescribing Quality in Medical Specialists in Isfahan, Iran
Rational prescribing increases the quality of health care and patient outcomes. In this study, the quality of drug prescription in specialist physicians in Isfahan province of Iran was assessed for evaluating the rational use of drugs and improving the therapeutic outcomes. This retrospective survey was conducted on a total of 7999530 prescriptions from all general and specialist physicians. Th...
full textPotentially inappropriate medications in elderly.
OBJECTIVE To compare PRISCUS with Beers-Fick in detecting potentially inappropriate medication (PIMs) in elderly at their first outpatient geriatric visit. METHODS Retrospective medical record analysis by PRISCUS and Beers-Fick adapted to Brazilian pharmacopoeia, comparing the finding of PIMs at the first outpatient geriatric visit by both criteria. RESULTS Cases had mean age of 77.4 ± 7.7 ...
full textPrescribing Quality in Medical Specialists in Isfahan, Iran
Rational prescribing increases the quality of health care and patient outcomes. In this study, the quality of drug prescription in specialist physicians in Isfahan province of Iran was assessed for evaluating the rational use of drugs and improving the therapeutic outcomes.This retrospective survey was conducted on a total of 7999530 prescriptions from all general and specialist physicians. The...
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Journal title
volume 4 issue 4
pages 241- 246
publication date 2008-10-01
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