Abstract
Medication screening using Beers and stopp/start criteria for
elderly patients: association between potentially inappropriate
medication and medication-related hospital admissions
OBJECTIVE
To assess the risk of medication-related hospital admissions
associated with inappropriate medication use applying the Beers
and the stopp/start criteria. There are multiple screening
methods to detect and reduce potentially inappropriate medication
(pim) and prescribing omissions (ppos). Whether this will
result in less medication-related hospitalisations is unknown.
DESIGN
A nested case-control study was conducted with a subset of
patients of the Hospital Admissions Related to Medication
(harm) study.
METHODS
Cases were defined as patients ≥65 years with a potentially
preventable medication-related hospital admission. For each
case one control was selected, matched on age and sex. The
primary determinant was defined as the presence of one or
more pims and/or ppos according to the Beers 2012 and the
stopp/start criteria. The strength of the association between
a pim/ppo and a medication-related hospital admission was
evaluated with multivariate logistic regression and expressed
as odds ratios with 95% confidence intervals (ci95).
RESULTS
pims and ppos detected with the stopp/start criteria are
associated with medication-related hospital admissions (or
3.47; ci95 1.70-7.09), while for the presence of pims according
to the Beers 2012 criteria a non-significant trend was visible
(oradj 1.49; ci95 0.90-2.47).
CONCLUSION
Both the stopp/start criteria and the Beers 2012 criteria can
be used to identify older people at risk for medication-related
problems. The choice which set of criteria should be used is
more dependent on other factors (e.g. national guidelines,
practical considerations) than on the association of each set
with adr-related hospital admission.
elderly patients: association between potentially inappropriate
medication and medication-related hospital admissions
OBJECTIVE
To assess the risk of medication-related hospital admissions
associated with inappropriate medication use applying the Beers
and the stopp/start criteria. There are multiple screening
methods to detect and reduce potentially inappropriate medication
(pim) and prescribing omissions (ppos). Whether this will
result in less medication-related hospitalisations is unknown.
DESIGN
A nested case-control study was conducted with a subset of
patients of the Hospital Admissions Related to Medication
(harm) study.
METHODS
Cases were defined as patients ≥65 years with a potentially
preventable medication-related hospital admission. For each
case one control was selected, matched on age and sex. The
primary determinant was defined as the presence of one or
more pims and/or ppos according to the Beers 2012 and the
stopp/start criteria. The strength of the association between
a pim/ppo and a medication-related hospital admission was
evaluated with multivariate logistic regression and expressed
as odds ratios with 95% confidence intervals (ci95).
RESULTS
pims and ppos detected with the stopp/start criteria are
associated with medication-related hospital admissions (or
3.47; ci95 1.70-7.09), while for the presence of pims according
to the Beers 2012 criteria a non-significant trend was visible
(oradj 1.49; ci95 0.90-2.47).
CONCLUSION
Both the stopp/start criteria and the Beers 2012 criteria can
be used to identify older people at risk for medication-related
problems. The choice which set of criteria should be used is
more dependent on other factors (e.g. national guidelines,
practical considerations) than on the association of each set
with adr-related hospital admission.
| Translated title of the contribution | Medication screening using Beers and STOPP/START criteria for elderly patients: association between potentially inappropriate medication and medication-related hospital admissions |
|---|---|
| Original language | Dutch |
| Pages (from-to) | A1525 |
| Journal | Pharmaceutisch Weekblad |
| Publication status | Published - 2015 |