1. Differences in the prescribing of potentially inappropriate medicines in older Australians: comparison of community dwelling and residential aged care residents
- Author
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Elizabeth Hotham, Jacquie M. Tsimbinos, Ian P. Todd, Megan Corlis, Vijayaprakash Suppiah, Gregory K. Scarlett, Helen Loffler, Renae A. Lloyd, Hosam Bony, Lauren J. Corre, Bony, Hosam, Lloyd, Renae A, Hotham, Elizabeth D, Corre, Lauren J, Corlis, Megan E, Loffler, Helen A, Scarlett, Gregory K, Tsimbinos, Jacquie M, Todd, Ian P, and Suppiah, Vijayaprakash
- Subjects
Male ,medicine.medical_specialty ,Beers Criteria ,lcsh:Medicine ,morbidity ,Inappropriate Prescribing ,Audit ,Residential Facilities ,Article ,older people ,03 medical and health sciences ,0302 clinical medicine ,Pro re nata ,hemic and lymphatic diseases ,South Australia ,Prevalence ,medicine ,Homes for the Aged ,Humans ,030212 general & internal medicine ,Aged care ,potentially inappropriate medications ,Medical prescription ,lcsh:Science ,Potentially Inappropriate Medication List ,Aged ,Quality of Health Care ,Aged, 80 and over ,Geriatrics ,Multidisciplinary ,business.industry ,lcsh:R ,Age Factors ,Medication administration ,residential aged care facilities (RACFs) ,Risk factors ,Family medicine ,Cohort ,lcsh:Q ,Female ,Independent Living ,business ,030217 neurology & neurosurgery - Abstract
Potentially inappropriate medications (PIMs) can contribute to morbidity through exacerbations or progression of existing conditions among older people. In order to characterize the prevalence of PIMs according to the Beers Criteria in older Australians, three hundred and eleven participants were recruited from three residential aged care facilities (RACFs) and two hundred and twenty participants from three community pharmacies in South Australia for a retrospective audit of medication administration charts and community pharmacy dispensing histories. Although a similar number of participants were prescribed at least one PIM (P = 0.09), the average number of PIMs was significantly greater in the RACF cohort (1.96 vs 1.26, P pro re nata (PRN) in the RACF cohort had a significantly low administration rate compared to prescription rate (19.7% vs 40.7%). The mean number of PIMs within each cohort was statistically significant (RACF = 1.93 vs CDOA = 1.26, P
- Published
- 2020
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