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Article

Evaluation of Inappropriate Prescribing in Patients Older than 65 Years in Primary Health Care

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UGC Primary Health Care, Biomedical Research Institute of Malaga-IBIMA, Primary Health Care Centre Archidona, Health Area North of Málaga, 29011 Málaga, Spain
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Primary Health Care Centre San Miguel (Torremolinos), Health District Costa del Sol, 29620 Málaga, Spain
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UGC Primary Health Care, Biomedical Research Institute of Malaga-IBIMA, Primary Health Care Centre La Roca, Health District Málaga-Guadalhorce, 29011 Málaga, Spain
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Primary Health Care Centre Cala de Mijas (Mijas), Health District Costa del Sol, 29649 Málaga, Spain
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Primary Health Care Centre Fuengirola Oeste (Fuengirola), Health District Costa del Sol, 29640 Málaga, Spain
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Department of Pharmacology, Biomedical Research Institute of Malaga-IBIMA, School of Medicine, IBIMA-University of Málaga, 29071 Málaga, Spain
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Author to whom correspondence should be addressed.
J. Clin. Med. 2019, 8(3), 305; https://doi.org/10.3390/jcm8030305
Received: 13 February 2019 / Revised: 25 February 2019 / Accepted: 27 February 2019 / Published: 4 March 2019
(This article belongs to the Section Pharmacology)
To asses inappropriate prescribing and its predisposing factors in polymedicated patients over the age of 65 in primary health care. Design: cross-sectional study. Setting: Primary care centres in the Costa del Sol Health District and Northern Health Area of Malaga in southern Spain. Participants: Patients older than 65 years who use multiple medications. Data collection was conducted during 1 year in a population of 425 individuals who comprised a stratified randomized sample of the population of health care users in the study area. The data were collected by interview on a structured data collection form. Study variables. Dependent variable: Potentially inappropriate prescribing (PIP) (STOPP/START criteria). Predictor variables: Sociodemographic characteristics, clinical characteristics and medication use. A descriptive analysis of the variables was performed. Statistical inference was based on bivariate analysis (Student’s t or Mann-Whitney U test and chi-squared test) and multivariate analysis was used to control for confounding factors. 73.6% of participants met one or more STOPP/START criteria. According to information about prescribed treatments, 48.5% of participants met at least one STOPP criterion and 43.30% of them met at least one START criterion. The largest percentage of inappropriate prescriptions was associated with cardiovascular treatments. More than three-quarters of the participants had one or more inappropriate prescriptions for medicines in primary care, according to STOPP/START criteria. In addition, PIP was directly related to the number of prescribed medications, gender and specific pathologies (diabetes). View Full-Text
Keywords: elderly; inappropriate prescribing; patient safety; polymedicated; primary care; risk factors STOPP/START elderly; inappropriate prescribing; patient safety; polymedicated; primary care; risk factors STOPP/START
MDPI and ACS Style

Nuñez-Montenegro, A.; Montiel-Luque, A.; Martin-Aurioles, E.; Garcia-Dillana, F.; Krag-Jiménez, M.; González-Correa, J.A. Evaluation of Inappropriate Prescribing in Patients Older than 65 Years in Primary Health Care. J. Clin. Med. 2019, 8, 305. https://doi.org/10.3390/jcm8030305

AMA Style

Nuñez-Montenegro A, Montiel-Luque A, Martin-Aurioles E, Garcia-Dillana F, Krag-Jiménez M, González-Correa JA. Evaluation of Inappropriate Prescribing in Patients Older than 65 Years in Primary Health Care. Journal of Clinical Medicine. 2019; 8(3):305. https://doi.org/10.3390/jcm8030305

Chicago/Turabian Style

Nuñez-Montenegro, Antonio, Alonso Montiel-Luque, Esther Martin-Aurioles, Felicisima Garcia-Dillana, Monica Krag-Jiménez, and Jose A. González-Correa. 2019. "Evaluation of Inappropriate Prescribing in Patients Older than 65 Years in Primary Health Care" Journal of Clinical Medicine 8, no. 3: 305. https://doi.org/10.3390/jcm8030305

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