@article{ref1,
title="Identification of inappropriate prescribing in a Brazilian nursing home using STOPP/START screening tools and the Beers' Criteria",
journal="Brazilian journal of pharmaceutical sciences",
year="2014",
author="Nascimento, Mariana Martins Gonzaga and Ribeiro, Andréia Queiroz and Pereira, Mariana Linhares and Soares, Adriana Cristina and Filho, Loyola and De, Antônio Ignácio and Dias-Junior, Carlos Alan Candido",
volume="50",
number="4",
pages="911-918",
abstract="The objective of this study was to determine the prevalence of Potentially Inappropriate Medication (PIM) use and associated factors, as well as the prevalence of Prescribing Omissions (PO). A cross-sectional study was conducted in a philanthropic Brazilian nursing home involving 46 individuals aged 60 years or older. The following information was collected from medical records and drug prescriptions: gender, age, health conditions and drugs used in the past thirty days. PIM and PO were identified according to the Beers' Criteria and the STOPP/START screening tools. Over one third (37%) of the population used at least one PIM according to the Beers' Criteria (n=17) and 60.9% according to the STOPP tool. A significant association was found between polypharmacy (use of five or more drugs) and use of PIM according to the Beers' Criteria, but not according to the STOPP. Eight residents (17.4%) were exposed to eight PO. This study allowed the diagnosis of a concerning drug utilization profile with use of a high number of PIMs. Thus, there is an evident need to implement strategies for improving geriatric prescription. Keywords : Pharmacoepidemiology; Pharmaceutical care; Elderly/inappropriate use of medicines; Medicines/inappropriate prescribing; Medicines/inappropriate use; Beers' Criteria; Falls; Elders<p /><p>Language: en</p>",
language="en",
issn="1984-8250",
doi="10.1590/S1984-82502014000400027",
url="http://dx.doi.org/10.1590/S1984-82502014000400027"
}