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Inappropriate prescribing in the older population: need for new criteria.

dc.contributor.authorO'Mahony, Denis
dc.contributor.authorGallagher, Paul Francis
dc.date.accessioned2012-02-03T15:12:46Z
dc.date.available2012-02-03T15:12:46Z
dc.date.issued2012-02-03T15:12:46Z
dc.identifier.citationAge Ageing. 2008 Mar;37(2):138-41.en_GB
dc.identifier.issn1468-2834 (Electronic)en_GB
dc.identifier.issn0002-0729 (Linking)en_GB
dc.identifier.pmid18349010en_GB
dc.identifier.doi10.1093/ageing/afm189en_GB
dc.identifier.urihttp://hdl.handle.net/10147/209119
dc.description.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.
dc.language.isoengen_GB
dc.subject.meshAdverse Drug Reaction Reporting Systems/organization & administrationen_GB
dc.subject.meshAgeden_GB
dc.subject.meshAged, 80 and overen_GB
dc.subject.meshAging/*drug effects/physiologyen_GB
dc.subject.meshDose-Response Relationship, Drugen_GB
dc.subject.meshDrug Prescriptions/*standards/statistics & numerical dataen_GB
dc.subject.meshDrug Utilization/standards/statistics & numerical dataen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshGeriatric Assessment/methodsen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIncidenceen_GB
dc.subject.meshIrelanden_GB
dc.subject.meshMaleen_GB
dc.subject.meshMedication Errors/*statistics & numerical dataen_GB
dc.subject.meshNeeds Assessmenten_GB
dc.subject.meshPharmaceutical Preparations/*adverse effectsen_GB
dc.subject.meshPhysician's Practice Patternsen_GB
dc.subject.meshRisk Assessmenten_GB
dc.titleInappropriate prescribing in the older population: need for new criteria.en_GB
dc.contributor.departmentDepartment of Geriatric Medicine, Cork University Hospital, Wilton Cork 4,, Ireland. denis.omahony@mailp.hse.ieen_GB
dc.identifier.journalAge and ageingen_GB
dc.description.provinceMunster
html.description.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.


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