Many older adults discharged from the hospital receive inappropriate prescriptions

May 11, 2018, Wiley
Credit: CC0 Public Domain

In a British Journal of Clinical Pharmacology study of 259 older adults discharged from a general medical hospital, more than 4 in 5 patients were issued a potentially inappropriate prescription containing at least 1 potentially inappropriate medication (PIM) or potential prescribing omission (PPO).

Medications that constitute a greater risk than benefit to a patient are considered PIMs, while failures to prescribe medications of potential benefit are considered PPOs.

Prescription of more than 5 medications was significantly associated with PIMs and PPOs. Also, PIMs and PPOs were associated with increased odds of hospital readmissions and death, respectively. The study used the STOPP (Screening Tool of Older Person's Prescriptions) START (Screening Tool to Alert doctors to the Right Treatment) criteria to identify PIMs and PPOs.

Explore further: Screening tools identify potentially inappropriate meds

More information: David Counter et al, Hospital readmissions, mortality and potentially inappropriate prescribing: A retrospective study of older adults discharged from hospital., British Journal of Clinical Pharmacology (2018). DOI: 10.1111/bcp.13607

Related Stories

Screening tools identify potentially inappropriate meds

October 17, 2017
(HealthDay)—Internal medicine patients are frequently prescribed potentially inappropriate medications (PIMs), but screening tools can detect clinically relevant PIMs, according to a study published online Oct. 8 in the ...

Understanding why potentially inappropriate medications are continued at the end of life

October 17, 2016
A recent interview study has uncovered factors that may contribute to the use of potentially inappropriate medications (PIMs) at the end of life.

Computerized dashboard can ID potentially inappropriate meds

November 12, 2014
(HealthDay)—A computerized potentially inappropriate medications (PIMs) dashboard can allow identification of older inpatients on high-risk medication regimens, according to research published online Nov. 3 in the Journal ...

Potentially inappropriate meds use prevalent in cancer patients

April 27, 2018
(HealthDay)—Potentially inappropriate medication (PIM) use is relatively prevalent among patients with breast or colorectal cancer, though it is not associated with most adverse outcomes, according to a study published ...

Older adults in home health care at elevated risk for unsafe meds

November 21, 2011
Older adults receiving home health care may be taking a drug that is unsafe or ineffective for someone their age. In fact, nearly 40 percent of seniors receiving medical care from a home health agency are taking at least ...

QI intervention aids medication safety for elderly in ER

April 20, 2017
(HealthDay)—A quality improvement initiative that combines education, electronic clinical decision support, and individual provider feedback can positively influence prescribing behavior and improve medication safety for ...

Recommended for you

Accurate measurements of sodium intake confirm relationship with mortality

June 21, 2018
Eating foods high in salt is known to contribute to high blood pressure, but does that linear relationship extend to increased risk of cardiovascular disease and death? Recent cohort studies have contested that relationship, ...

Fruit and vegetables linked to changes in skin colour, new research finds

June 21, 2018
Skin colour in young Caucasian men is strongly linked to high levels of fruit and vegetable consumption, new research by Curtin University has found.

Fans of yoga therapy have yet to win over doctors

June 21, 2018
Yoga practitioners often tout the unique health benefits of the ancient discipline—from relieving stress and pain to improving vascular health—but most doctors remain sceptical in the absence of hard proof.

What a pain: The iPad neck plagues women more

June 20, 2018
Is your iPad being a literal pain in the neck?

Medicaid work requirements and health savings accounts may impact people's coverage

June 20, 2018
Current experimental approaches in Medicaid programs—including requirements to pay premiums, contribute to health savings accounts, or to work—may lead to unintended consequences for patient coverage and access, such ...

Introduction of alcohol found to adversely impact fertility rates in hunter-gatherer community

June 19, 2018
Fernando Ramirez Rozzi, a research director with the French National Centre for Scientific Research has found that the introduction of alcohol to a Baka pygmy hunter-gatherer society caused fertility rates to fall. In his ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.