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Prescription of potentially inappropriate medication to older patients presenting to the emergency department: a nationally representative population study

Potentially inappropriate medication (PIM) was associated with adverse clinical outcomes and higher healthcare resource utilization among older patients. In order to investigate the prevalence of PIM use based on three different sets of criteria and their associated factors among older patients in t...

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Autores principales: Chang, Chirn-Bin, Lai, Hsiu-Yun, Hwang, Shinn-Jang, Yang, Shu-Yu, Wu, Ru-Shu, Liu, Hsing-Cheng, Chan, Ding-Cheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078949/
https://www.ncbi.nlm.nih.gov/pubmed/30082816
http://dx.doi.org/10.1038/s41598-018-30184-4
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author Chang, Chirn-Bin
Lai, Hsiu-Yun
Hwang, Shinn-Jang
Yang, Shu-Yu
Wu, Ru-Shu
Liu, Hsing-Cheng
Chan, Ding-Cheng
author_facet Chang, Chirn-Bin
Lai, Hsiu-Yun
Hwang, Shinn-Jang
Yang, Shu-Yu
Wu, Ru-Shu
Liu, Hsing-Cheng
Chan, Ding-Cheng
author_sort Chang, Chirn-Bin
collection PubMed
description Potentially inappropriate medication (PIM) was associated with adverse clinical outcomes and higher healthcare resource utilization among older patients. In order to investigate the prevalence of PIM use based on three different sets of criteria and their associated factors among older patients in the emergency department (ED) in Taiwan. The National Health Insurance Research Database was used for this cross-sectional study. Older patients who visited the ED at least once in 2009 were enrolled. PIMs were identified based on the Beers Criteria, PIM-Taiwan criteria, and PRISCUS criteria. Average patient age was 76.7 ± 7.4 years and patients visited the ED 1.8 ± 2.1 times in 2009. The prevalence and frequency of being prescribed at least one PIM at each visit were high according to all three sets of criteria. Performance of the PIM-Taiwan criteria was only inferior to that of the Beers Criteria. The most important factor associated with PIM was the number of medications prescribed in the ED, and PIM use was associated with higher annual health resource utilization in the ED. PIM use was a significant issue and was associated with higher annual emergency care resource utilization in the ED.
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spelling pubmed-60789492018-08-09 Prescription of potentially inappropriate medication to older patients presenting to the emergency department: a nationally representative population study Chang, Chirn-Bin Lai, Hsiu-Yun Hwang, Shinn-Jang Yang, Shu-Yu Wu, Ru-Shu Liu, Hsing-Cheng Chan, Ding-Cheng Sci Rep Article Potentially inappropriate medication (PIM) was associated with adverse clinical outcomes and higher healthcare resource utilization among older patients. In order to investigate the prevalence of PIM use based on three different sets of criteria and their associated factors among older patients in the emergency department (ED) in Taiwan. The National Health Insurance Research Database was used for this cross-sectional study. Older patients who visited the ED at least once in 2009 were enrolled. PIMs were identified based on the Beers Criteria, PIM-Taiwan criteria, and PRISCUS criteria. Average patient age was 76.7 ± 7.4 years and patients visited the ED 1.8 ± 2.1 times in 2009. The prevalence and frequency of being prescribed at least one PIM at each visit were high according to all three sets of criteria. Performance of the PIM-Taiwan criteria was only inferior to that of the Beers Criteria. The most important factor associated with PIM was the number of medications prescribed in the ED, and PIM use was associated with higher annual health resource utilization in the ED. PIM use was a significant issue and was associated with higher annual emergency care resource utilization in the ED. Nature Publishing Group UK 2018-08-06 /pmc/articles/PMC6078949/ /pubmed/30082816 http://dx.doi.org/10.1038/s41598-018-30184-4 Text en © The Author(s) 2018 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Chang, Chirn-Bin
Lai, Hsiu-Yun
Hwang, Shinn-Jang
Yang, Shu-Yu
Wu, Ru-Shu
Liu, Hsing-Cheng
Chan, Ding-Cheng
Prescription of potentially inappropriate medication to older patients presenting to the emergency department: a nationally representative population study
title Prescription of potentially inappropriate medication to older patients presenting to the emergency department: a nationally representative population study
title_full Prescription of potentially inappropriate medication to older patients presenting to the emergency department: a nationally representative population study
title_fullStr Prescription of potentially inappropriate medication to older patients presenting to the emergency department: a nationally representative population study
title_full_unstemmed Prescription of potentially inappropriate medication to older patients presenting to the emergency department: a nationally representative population study
title_short Prescription of potentially inappropriate medication to older patients presenting to the emergency department: a nationally representative population study
title_sort prescription of potentially inappropriate medication to older patients presenting to the emergency department: a nationally representative population study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078949/
https://www.ncbi.nlm.nih.gov/pubmed/30082816
http://dx.doi.org/10.1038/s41598-018-30184-4
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