Potentially inappropriate prescribing before and after nursing home admission: a retrospective observational study in a sample of Italian nursing homes.
Epidemiol Prev
; 46(4): 268-272, 2022.
Article
en En
| MEDLINE
| ID: mdl-36259343
ABSTRACT
OBJECTIVES:
to assess the occurrence of potentially inappropriate prescribing (PIP) in residents of Tuscany nursing homes (NHs) and its variation before and after NH entry.DESIGN:
retrospective observational study using data from the Regional Administrative Database of Tuscany. SETTING ANDPARTICIPANTS:
the study involved residents of 67 Tuscan NHs identified between 2011 and 2012. To estimate PIP prevalence before and after NH, a subset of 10 indicators of the Screening Tool of Older Person's Prescriptions (STOPP) criteria were selected. MAIN OUTCOMEMEASURES:
prevalence of PIP.RESULTS:
considering 2,801 NH residents, the proportion of PIP ranged from 0.0% to 55.2% and from 0.0% to 33.9% before and after the NH admission, respectively. Overall, this study showed a decrease in the occurrence of PIP after the NH admission for most of the indicators, reaching statistical significance for indicator 3 (tricyclic antidepressants in combination with an opiate or calcium channel blockers), 7 (prescription of NSAIDs in heart failure patients), and 9 (warfarin in combination with NSAIDs).CONCLUSIONS:
although the reduction of PIP after NH admission may suggest greater awareness about the appropriateness of drug use, more efforts still need to be made.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Alcaloides Opiáceos
/
Prescripción Inadecuada
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Aged
/
Humans
País/Región como asunto:
Europa
Idioma:
En
Revista:
Epidemiol Prev
Asunto de la revista:
EPIDEMIOLOGIA
Año:
2022
Tipo del documento:
Article