Please use this identifier to cite or link to this item: http://hdl.handle.net/10668/3077
Full metadata record
DC FieldValueLanguage
dc.contributor.authorBlanco-Reina, Encarnación-
dc.contributor.authorGarcía-Merino, Maria Rosa-
dc.contributor.authorOcaña-Riola, Ricardo-
dc.contributor.authorAguilar-Cano, Lorena-
dc.contributor.authorValdellós, Jennifer-
dc.contributor.authorBellido-Estévez, Inmaculada-
dc.contributor.authorAriza-Zafra, Gabriel-
dc.date.accessioned2020-01-17T09:36:42Z-
dc.date.available2020-01-17T09:36:42Z-
dc.date.issued2016-12-01-
dc.identifier.citationBlanco-Reina E, García-Merino M, Ocaña-Riola R, Aguilar-Cano L, Valdellós J, Bellido-Estévez I, et al. Assessing Potentially Inappropriate Prescribing in Community-Dwelling Older Patients Using the Updated Version of STOPP-START Criteria: A Comparison of Profiles and Prevalences with Respect to the Original Version. PLOS ONE. 2016;11(12):e0167586. doi: 10.1371/journal.pone.0167586. PMID: 27907210; PMCID: PMC5132290.es_ES
dc.identifier.issn1932-6203 (Online)es_ES
dc.identifier.otherPMC5132290es_ES
dc.identifier.urihttp://hdl.handle.net/10668/3077-
dc.description.abstractEmerging and changing evidence made it necessary to update STOPP-START criteria, and version 2 was published recently. In this study the objectives were to determine the prevalence of potentially inappropriate medication prescribing (PIM) in primary care using STOPP versions 1 (v1) and 2 (v2), as well as 2012 AGS Beers criteria, and analyze the factors associated with inappropriate prescribing according to STOPP/START v2. A cross-sectional study was carried out including community-dwelling older adults over the age of 65. Sociodemographic, clinical, functional and comprehensive drug therapy data were collected. The primary endpoint was the percentage of patients receiving at least one PIM. This variable was measured using three tools: STOPP v1, 2012 AGS Beers criteria and STOPP v2. Similarly, the percentage of patients receiving at least one potential prescribing omission (PPO) was calculated using START versions 1 and 2. A total of 1,615 prescriptions were reviewed. The median number of medications per patient was 7.1 drugs (±3.8). The prevalence of elderly people exposed to polypharmacy (≥5 medications) was 72.9%, whereas 28.4% of the participants took ≥10 drugs regularly. PIM were present in 18.7%, 37.3% and 40.4% of participants, according to the STOPP v1, 2012 Beers criteria and STOPP v2, respectively. According to STOPP v2, the number of medications taken (OR: 1.14, 1.06-1.25), the presence of a psychological disorder (OR: 2.22, 1.13-4.37) and insomnia (OR: 3.35, 1.80-6.32) were risk factors for taking a PIM. The prevalence of PPOs was 34.7% and 21.8% according to version 1 and 2, respectively. In conclusion, STOPP-START criteria have been remarkably modified, which is evidenced by the different prevalence rates detected using version 2, as compared to version 1. In fact, the level of agreement between version 1 and the updated version is only moderate. Special attention should be paid on benzodiazepines, which keep being the most frequent PIM.es_ES
dc.description.sponsorshipThis research has been supported by public grant funding provided by the Fundación Pública Andaluza Progreso y Salud, Consejería de Salud, Junta de Andalucía (grant number PI 0234/14).es_ES
dc.format.extent10 p.es_ES
dc.language.isoenes_ES
dc.publisherPublic Library of Sciencees_ES
dc.relation.ispartofPloS Onees_ES
dc.rightsAn error occurred on the license name.*
dc.rights.uriAn error occurred getting the license - uri.*
dc.subjectPrescripciones de medicamentoses_ES
dc.subjectPrescripción inadecuadaes_ES
dc.subjectLista de medicamentos potencialmente inapropiadoses_ES
dc.subjectPrevalenciaes_ES
dc.subject.meshMedical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Services::Pharmaceutical Services::Prescriptions::Drug Prescriptionses_ES
dc.subject.meshMedical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Services::Medical Errors::Medication Errors::Inappropriate Prescribinges_ES
dc.subject.meshMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Vital Statistics::Morbidity::Prevalencees_ES
dc.subject.meshMedical Subject Headings::Persons::Persons::Age Groups::Adult::Agedes_ES
dc.subject.meshMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Drug Therapy::Polypharmacyes_ES
dc.subject.meshMedical Subject Headings::Diseases::Cardiovascular Diseaseses_ES
dc.subject.meshMedical Subject Headings::Diseases::Nutritional and Metabolic Diseases::Metabolic Diseases::Glucose Metabolism Disorders::Diabetes Mellituses_ES
dc.titleAssessing Potentially Inappropriate Prescribing in Community-Dwelling Older Patients Using the Updated Version of STOPP-START Criteria: A Comparison of Profiles and Prevalences with Respect to the Original Versiones_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.description.versionYeses_ES
dc.identifier.pmid27907210es_ES
dc.rights.accessRightsAcceso abiertoes_ES
dc.identifier.doi10.1371/journal.pone.0167586es_ES
dc.type.versioninfo:eu-repo/semantics/publishedes_ES
dc.relation.publisherversionhttp://journals.plos.org/plosone/article?id=10.1371/journal.pone.0167586es_ES
dc.contributor.authoraffiliation[Blanco-Reina,E; Bellido-Estévez,I] Pharmacology and Therapeutics Department, Medical School, Málaga Biomedical Institute (IBIMA), University of Málaga, Málaga, Spain. [García-Merino,MR] Health District of Córdoba Sur, Córdoba, Spain. [Ocaña-Riola,R] Statistics Department, Andalusian School of Public Health, Granada, Spain. [Aguilar-Cano,L] Health District of Málaga, Málaga, Spain. [Valdellós,J] Health Area of Málaga Norte, Málaga, Spain. [Ariza-Zafra,G] Geriatrics Department, University Hospital of Albacete, Albacete, Spain.es_ES
dc.type.subtypeArtículo originales_ES
Appears in Collections:01- Artículos - AGS Norte de Málaga
01- Artículos - DAP Córdoba Sur
01- Artículos - DAP Málaga
01- Artículos - EASP. Escuela Andaluza de Salud Pública
01- Artículos - IBIMA. Instituto de Investigación Biomédica de Málaga

Files in This Item:
File Description SizeFormat 
BlancoReinaE_AssessingPotentiallyInappropriate.pdfArtículo publicado600,17 kBAdobe PDFView/Open


This item is protected by original copyright



Except where otherwise noted, Items on the Andalusian Health Repository site are licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives License.