STOPP (Screening Tool of Older Persons' potentially inappropriate Prescriptions): application to acutely ill elderly patients and comparison with Beers' criteria.
AffiliationDepartment of Geriatric Medicine, Cork University Hospital, Wilton, Cork,, Ireland.
Admitting Department, Hospital/statistics & numerical data
Aged, 80 and over
Hospitals, University/statistics & numerical data
Medical Records/*statistics & numerical data
Prescription Drugs/*adverse effects/standards/*therapeutic use
Sensitivity and Specificity
MetadataShow full item record
CitationAge Ageing. 2008 Nov;37(6):673-9. Epub 2008 Oct 1.
JournalAge and ageing
AbstractIntroduction: STOPP (Screening Tool of Older Persons' potentially inappropriate Prescriptions) is a new, systems-defined medicine review tool. We compared the performance of STOPP to that of established Beers' criteria in detecting potentially inappropriate medicines (PIMs) and related adverse drug events (ADEs) in older patients presenting for hospital admission. METHODS: we prospectively studied 715 consecutive acute admissions to a university teaching hospital. Diagnoses, reason for admission and concurrent medications were recorded. STOPP and Beers' criteria were applied. PIMs with clear causal connection or contribution to the principal reason for admission were determined. RESULTS: median patient age (interquartile range) was 77 (72-82) years. Median number of prescription medicines was 6 (range 0-21). STOPP identified 336 PIMs affecting 247 patients (35%), of whom one-third (n = 82) presented with an associated ADE. Beers' criteria identified 226 PIMs affecting 177 patients (25%), of whom 43 presented with an associated ADE. STOPP-related PIMs contributed to 11.5% of all admissions. Beers' criteria-related PIMs contributed to significantly fewer admissions (6%). CONCLUSION: STOPP criteria identified a significantly higher proportion of patients requiring hospitalisation as a result of PIM-related adverse events than Beers' criteria. This finding has significant implications for hospital geriatric practice.
- Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients.
- Authors: Hamilton H, Gallagher P, Ryan C, Byrne S, O'Mahony D
- Issue date: 2011 Jun 13
- Potentially inappropriate prescribing in an Irish elderly population in primary care.
- Authors: Ryan C, O'Mahony D, Kennedy J, Weedle P, Byrne S
- Issue date: 2009 Dec
- Potentially inappropriate medication use in Indian elderly: comparison of Beers' criteria and Screening Tool of Older Persons' potentially inappropriate Prescriptions.
- Authors: Vishwas HN, Harugeri A, Parthasarathi G, Ramesh M
- Issue date: 2012 Jul
- A prevalence study of potentially inappropriate prescribing in Irish long-term care residents.
- Authors: O'Sullivan DP, O'Mahony D, Parsons C, Hughes C, Murphy K, Patterson S, Byrne S
- Issue date: 2013 Jan
- Inappropriate prescribing in the elderly: a comparison of the Beers criteria and the improved prescribing in the elderly tool (IPET) in acutely ill elderly hospitalized patients.
- Authors: Barry PJ, O'Keefe N, O'Connor KA, O'Mahony D
- Issue date: 2006 Dec