Inappropriate prescribing in the older population: need for new criteria.
AffiliationDepartment of Geriatric Medicine, Cork University Hospital, Wilton Cork 4,, Ireland. email@example.com
MeSHAdverse Drug Reaction Reporting Systems/organization & administration
Aged, 80 and over
Dose-Response Relationship, Drug
Drug Prescriptions/*standards/statistics & numerical data
Drug Utilization/standards/statistics & numerical data
Medication Errors/*statistics & numerical data
Pharmaceutical Preparations/*adverse effects
Physician's Practice Patterns
MetadataShow full item record
CitationAge Ageing. 2008 Mar;37(2):138-41.
JournalAge and ageing
AbstractInappropriate prescribing (IP) is a common and serious global healthcare problem in elderly people, leading to increased risk of adverse drug reactions (ADRs), polypharmacy being the main risk factor for both IP and ADRs. IP in older people is highly prevalent but preventable; hence screening tools for IP have been devised, principally Beers' Criteria and the Inappropriate Prescribing in the Elderly Tool (IPET). Although Beers' Criteria have become the most widely cited IP criteria in the literature, nevertheless, they have serious deficiencies, including several drugs that are rarely prescribed nowadays, a lack of structure in the presentation of the criteria and omission of several important and common IP instances. New, more up-to-date, systems-based and easily applicable criteria are needed that can be applied in the routine clinical setting.