TY  - JOUR
PY  - 2014//
TI  - Identification of inappropriate prescribing in a Brazilian nursing home using STOPP/START screening tools and the Beers' Criteria
JO  - Brazilian journal of pharmaceutical sciences
A1  - Nascimento, Mariana Martins Gonzaga
A1  - Ribeiro, Andréia Queiroz
A1  - Pereira, Mariana Linhares
A1  - Soares, Adriana Cristina
A1  - Filho, Loyola
A1  - De, Antônio Ignácio
A1  - Dias-Junior, Carlos Alan Candido
SP  - 911
EP  - 918
VL  - 50
IS  - 4
N2  - 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>
LA  - en
SN  - 1984-8250
UR  - http://dx.doi.org/10.1590/S1984-82502014000400027
ID  - ref1
ER  -