Updating the beers criteria for potentially inappropriate

02-May-2019 12:46 by 7 Comments

Updating the beers criteria for potentially inappropriate - dating controlling boyfriend daughter book

PIMs use increases the risk of hospitalization, drug-related problems and other adverse health outcomes by two to three folds [6, 7].

Females, older age, polypharmacy, having multiple prescribers physicians, and having poor health status are more likely to be associated with PIMs use [18, 19].The Prevalence of PIMs to be avoided among older adults was 57.6% where 39.9% of the older adults population were prescribed one PIMs, 14.5% two PIMs, and 3.3% were on three or more PIMs.The most commonly prescribed PIMs were gastrointestinal agents (35.6%) and endocrine agents (34.3%).It was first developed in 1991 and consequently updated with the latest update in 2015 [5].It is well known that PIMs use among older patients is associated with negative health consequences and can impact patients’ quality of life.Polypharmacy among older adults is common and consequently older patients are at higher risk of potentially inappropriate medications (PIMs) use [3].

PIMs are defined as “medications that should be avoided due to their risk which outweighs their benefit and when there are equally or more effective but lower risk alternatives are available” [4].Older patients are commonly prescribed multiple medications therefore; medication misadventures are common and expected among older patients.The use of potentially inappropriate medicines (PIMs) further contributes to this risk.Moreover, certain chronic conditions such as diabetes, hypertension, depression, osteoporosis, and dementia have also been associated with a higher risk of PIMs use compared with older adults who don’t have these chronic conditions [14, 15].Although many studies have examined the PIMs use among older adults using Beers criteria globally, still few studies has examined factors associated with PIMs use among older adults in Saudi Arabia using the American Geriatric Society (AGS) Beers criteria.While one study was conducted in a Military hospital [16] and another was limited to family medicine [17] ward, both studies were purely descriptive and have used 2003 Beers Criteria.