Seniors Receiving Inappropriate Prescriptions at Hospital Discharge
The median number of drugs prescribed to seniors on hospital discharge was 7.8.
HealthDay News — More than 1 in 3 older adults are given at least 1 potentially inappropriate prescription (PIP) at the time of hospital discharge, according to a study published in the Journal of Evaluation in Clinical Practice.
Using the BEERS and STOPP (Screening Tool of Older Person's Prescriptions) criteria, Klejda Hudhra PhD, from University of Medicine Tirana in Albania, and colleagues retrospectively identified PIPs among 319 patients (aged ≥60 years) discharged from cardiology and internal medicine departments during 2013.
The researchers found that the median number of drugs prescribed was 7.8. Using both criteria (STOPP version 1), PIPs prevalence at hospital discharge was 34.5%. Use of STOPP version 2 found 63% of patients had at least 1 PIP (total of 312 PIPs). Aspirin, spironolactone, benzodiazepines, digoxin, and methyldopa were the drugs most frequently involved in PIPs. There was a significant positive correlation between the number of prescribed drugs and PIP occurrence. Patients discharged from internal medicine had higher odds of PIP (P < 0.005).
"The high frequency of PIPs suggests the urgent need for interventions to reduce them," the authors write.
- Hudhra K, Beçi E, Petrela E, et al. Prevalence and factors associated with potentially inappropriate prescriptions among older patients at hospital discharge. J Eval Clin Pract. 2016; doi: 10.1111/jep.12521