| Title | Comparison of drug therapy on nursing home admission and at six months with the application of STOPP/START criteria version 2 |
| Publication Type | Conference Paper |
| Year of Publication | 2017 |
| Authors | Sveinsson S.H, Gunnarsson P., Samuelsson O., Hansdottir H., Gudmundsson A. |
| Conference Name | European Geriatric Medicine |
| Issue | Supplement 1 |
| Keywords | *nursing home, Adult, blood, cognitive defect, controlled study, Diagnosis, Documentation, Female, Human, major clinical study, Male, potentially inappropriate medication, Prevalence, resident, retrospective study |
| Abstract | Introduction: Nursing home residents are frail with multiple co-morbidities requiring the use of many drugs, increasing the risk of potentially inappropriate prescribing. The STOPP/START criteria were developed to identify such errors, where STOPP detects potentially inappropriate medications (PIMs) and START potential prescribing omissions (PPOs). The aim of the study was to evaluate drug therapy in two nursing homes in Reykjavik, with the application of the STOPP/START (version 2) criteria, on admission and at six months. Method(s): The study was retrospective. Included were residents admitted after January 1,2013 that remained in the nursing homes for at least six months. Data collected included information about drug therapy, diagnosis, selected blood laboratory values and the resident's state of health according to selected Resident Assessment Instrument (RAI) variables. Result(s): In nursing home A (n=88), the prevalence of residents with PIM were 94.3% both on admission and at six months, and the proportion of PIMs per total number of medications were 28.2% and 27.3%, respectively. In nursing home B (n=55), the prevalence of residents with PIM on admission and at six months were 90.9% and 96.4%, respectively, and the proportion of PIMs per total number of medications were 30.3% and 36.8%, respectively. The number of medications and PIMs were positively correlated at both time points in nursing homes A and B. Cognitive impairment was negatively correlated with the number of PIMs at six months in nursing home A and on admission in nursing home B. In nursing home A, the prevalence of residents with PPO on admission and at six months were 73.9% and 68.2%, respectively, and in nursing home B, 85.5% and 90.9%, respectively. The most common STOPP criteria used was not a registered indication. Conclusion(s): According to STOPP/START both PIMs and PPOs were highly prevalent both on admission and at six months in both nursing homes. Inadequare documentaion of diagnoses was com-mon. Better documentation and regular medication reviews using STOPP/START criteria, could be useful to reduce the high prevalence PIMs. |
| Reseach Notes | AM |
