Prevalence and associated factors of potentially inappropriate medications among Iranian older adults

Aim Potentially inappropriate medications (PIMs) in older people are associated with the increased use of health care services. The aim of this study was to investigate the prevalence of PIMs among the elderly being referred to pharmacies in Tehran using the Beers criteria of 2012, and identify fact...

Full description

Saved in:
Bibliographic Details
Published inMedicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina Vol. 16; no. 1; p. 121
Main Authors Saboor, Malihe, Kamrani, Ahmad-Ali Akbari, Momtaz, Yadollah Abolfathi, Sahaf, Robab
Format Journal Article
LanguageEnglish
Published Bosnia and Herzegovina 01.02.2019
Subjects
Age Factors
Aged
Aged, 80 and over
Analgesics - therapeutic use
Cross-Sectional Studies
Drug Prescriptions - statistics & numerical data
Female
Humans
Iran - epidemiology
Logistic Models
Male
Middle Aged
Polypharmacy
Potentially Inappropriate Medication List - statistics & numerical data
Prevalence
Risk Factors
Socioeconomic Factors
Iran
potentially inappropriate medication
elderly
potentially inappropriate prescribing
Beers criteria
Online AccessGet more information

Cover

More Information
Summary:Aim Potentially inappropriate medications (PIMs) in older people are associated with the increased use of health care services. The aim of this study was to investigate the prevalence of PIMs among the elderly being referred to pharmacies in Tehran using the Beers criteria of 2012, and identify factors related to PIMs. Methods This cross-sectional study was conducted on elderly patients (60 years and above) referred to pharmacies in Tehran, in 2017. The Beers' criteria 2012 were used to evaluate PIMs. The logistic regression analysis was used to find sociodemographic predictors of PIMs. Results The mean age of 1591 patients was 70.51 years. The overall prevalence of PIMs was 26.0%. The most frequent PIMs, in order of frequency, included diclofenac (13.5%), alprazolam (9.3%), and chlordiazepoxide (9.1%) and clonazepam (8.4%). The pain medications were found to be most common PIMs (37.6%). Polypharmacy (OR=3.64, CI 95%: .81-4.70; p<0.001), number of chronic disease (OR=2.371, CI 95%:1.71-3.28; p<0.001) insomnia (OR=1.45, CI 95%: 1.13-1.87; p<0.01) and type of specialists were found as PIMs risk factors. Internal medicine specialists prescribed PIMs significantly fewer times than other specialists(OR=0.59, CI 95%: 0.40-0.88; p<0.01, and the orthopedic specialists prescribed PIMs significantly more times than other physicians (OR=3.23, CI 95%: 5.76-1.81; p<0.001). Conclusion High prevalence of PIMs among Iranian elderly patients implies a need for the development and operationalization of scientific guidelines for the use of medicines. It is also necessary to hold training courses for physicians to be educated in such cases.
ISSN:1840-2445