Cargando…
Assessing Potentially Inappropriate Medications in Nursing Home Residents by NORGEP-NH Criteria
Background: Nursing home residents often have several conditions that necessitate the use of multiple medicines. This study investigates the prevalence of potentially inappropriate medications (PIMs) and its associations with sex, age, number of medicines, and study location (rural/urban). Methods:...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6473407/ https://www.ncbi.nlm.nih.gov/pubmed/30841495 http://dx.doi.org/10.3390/pharmacy7010026 |
_version_ | 1783412423389085696 |
---|---|
author | Halvorsen, Kjell H. Kucukcelik, Sinan Garcia, Beate H. Svendsen, Kristian |
author_facet | Halvorsen, Kjell H. Kucukcelik, Sinan Garcia, Beate H. Svendsen, Kristian |
author_sort | Halvorsen, Kjell H. |
collection | PubMed |
description | Background: Nursing home residents often have several conditions that necessitate the use of multiple medicines. This study investigates the prevalence of potentially inappropriate medications (PIMs) and its associations with sex, age, number of medicines, and study location (rural/urban). Methods: A cross-sectional study of long-term care residents from six nursing homes. Data was collected from medical records. We identified PIMs by applying the NORGEP-NH criteria. We conducted a Poisson regression analysis to investigate the association between the number of PIMs and sex, age, number of medicines, and study location. Results: We included 103 (18.4%) of 559 residents (68.0% women; mean age 83.2 years, mean number of daily used medicines 7.2 (SD = 3.6)). We identified PIMs in 56% of the residents (mean number = 1.10, SD = 1.26). In adjusted analyses, residents ≥80 years had 0.43 fewer PIMs compared to residents <80 years (p < 0.05). Residents using 4–6, 7–9, and 10+ medicines had on average 0.73, 1.06, and 2.11 more PIMs compared to residents using 0–3 medicines (p < 0.001), respectively. Conclusion: PIM use is prevalent among nursing home residents and is significantly associated with age and number of medicines. Our findings suggest a modest decrease in residents using PIMs compared to previous studies. Nevertheless, prescribing quality in nursing home residents in both urban and rural areas is still of great concern. |
format | Online Article Text |
id | pubmed-6473407 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-64734072019-04-29 Assessing Potentially Inappropriate Medications in Nursing Home Residents by NORGEP-NH Criteria Halvorsen, Kjell H. Kucukcelik, Sinan Garcia, Beate H. Svendsen, Kristian Pharmacy (Basel) Article Background: Nursing home residents often have several conditions that necessitate the use of multiple medicines. This study investigates the prevalence of potentially inappropriate medications (PIMs) and its associations with sex, age, number of medicines, and study location (rural/urban). Methods: A cross-sectional study of long-term care residents from six nursing homes. Data was collected from medical records. We identified PIMs by applying the NORGEP-NH criteria. We conducted a Poisson regression analysis to investigate the association between the number of PIMs and sex, age, number of medicines, and study location. Results: We included 103 (18.4%) of 559 residents (68.0% women; mean age 83.2 years, mean number of daily used medicines 7.2 (SD = 3.6)). We identified PIMs in 56% of the residents (mean number = 1.10, SD = 1.26). In adjusted analyses, residents ≥80 years had 0.43 fewer PIMs compared to residents <80 years (p < 0.05). Residents using 4–6, 7–9, and 10+ medicines had on average 0.73, 1.06, and 2.11 more PIMs compared to residents using 0–3 medicines (p < 0.001), respectively. Conclusion: PIM use is prevalent among nursing home residents and is significantly associated with age and number of medicines. Our findings suggest a modest decrease in residents using PIMs compared to previous studies. Nevertheless, prescribing quality in nursing home residents in both urban and rural areas is still of great concern. MDPI 2019-03-05 /pmc/articles/PMC6473407/ /pubmed/30841495 http://dx.doi.org/10.3390/pharmacy7010026 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Halvorsen, Kjell H. Kucukcelik, Sinan Garcia, Beate H. Svendsen, Kristian Assessing Potentially Inappropriate Medications in Nursing Home Residents by NORGEP-NH Criteria |
title | Assessing Potentially Inappropriate Medications in Nursing Home Residents by NORGEP-NH Criteria |
title_full | Assessing Potentially Inappropriate Medications in Nursing Home Residents by NORGEP-NH Criteria |
title_fullStr | Assessing Potentially Inappropriate Medications in Nursing Home Residents by NORGEP-NH Criteria |
title_full_unstemmed | Assessing Potentially Inappropriate Medications in Nursing Home Residents by NORGEP-NH Criteria |
title_short | Assessing Potentially Inappropriate Medications in Nursing Home Residents by NORGEP-NH Criteria |
title_sort | assessing potentially inappropriate medications in nursing home residents by norgep-nh criteria |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6473407/ https://www.ncbi.nlm.nih.gov/pubmed/30841495 http://dx.doi.org/10.3390/pharmacy7010026 |
work_keys_str_mv | AT halvorsenkjellh assessingpotentiallyinappropriatemedicationsinnursinghomeresidentsbynorgepnhcriteria AT kucukceliksinan assessingpotentiallyinappropriatemedicationsinnursinghomeresidentsbynorgepnhcriteria AT garciabeateh assessingpotentiallyinappropriatemedicationsinnursinghomeresidentsbynorgepnhcriteria AT svendsenkristian assessingpotentiallyinappropriatemedicationsinnursinghomeresidentsbynorgepnhcriteria |