RT Journal Article
T1 Evaluation of Inappropriate Prescribing in Patients Older than 65 Years in Primary Health Care.
A1 Nuñez-Montenegro, Antonio
A1 Montiel-Luque, Alonso
A1 Martin-Aurioles, Esther
A1 Garcia-Dillana, Felicisima
A1 Krag-Jiménez, Monica
A1 González-Correa, Jose A
K1 elderly
K1 inappropriate prescribing
K1 patient safety
K1 polymedicated
K1 primary care
K1 risk factors STOPP/START
K1 Health Area North of Málaga
AB To asses inappropriate prescribing and its predisposing factors in polymedicated patients over the age of 65 in primary health care. Design: cross-sectional study. Setting: Primary care centres in the Costa del Sol Health District and Northern Health Area of Malaga in southern Spain. Participants: Patients older than 65 years who use multiple medications. Data collection was conducted during 1 year in a population of 425 individuals who comprised a stratified randomized sample of the population of health care users in the study area. The data were collected by interview on a structured data collection form. Study variables. Dependent variable: Potentially inappropriate prescribing (PIP) (STOPP/START criteria). Predictor variables: Sociodemographic characteristics, clinical characteristics and medication use. A descriptive analysis of the variables was performed. Statistical inference was based on bivariate analysis (Student’s t or Mann-Whitney U test and chi-squared test) and multivariate analysis was used to control for confounding factors. 73.6% of participants met one or more STOPP/START criteria. According to information about prescribed treatments, 48.5% of participants met at least one STOPP criterion and 43.30% of them met at least one START criterion. The largest percentage of inappropriate prescriptions was associated with cardiovascular treatments. More than three-quarters of the participants had one or moreinappropriate prescriptions for medicines in primary care, according to STOPP/START criteria. In addition, PIP was directly related to the number of prescribed medications, gender and specific pathologies (diabetes).
PB Mdpi
SN 2077-0383
YR 2019
FD 2019-03-04
LK http://hdl.handle.net/10668/13660
UL http://hdl.handle.net/10668/13660
LA en
NO Nuñez-Montenegro A, Montiel-Luque A, Martin-Aurioles E, Garcia-Dillana F, Krag-Jiménez M, González-Correa JA. Evaluation of Inappropriate Prescribing in Patients Older than 65 Years in Primary Health Care. J Clin Med. 2019;8(3):305. Published 2019 Mar 4.
NO This study was funded by The Andalusian Health Service, file number: 111222 SAS, according to Resolution of April 15, 2011, published in BOJA No. 92 of 12 May 2011. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
DS RISalud
RD Aug 23, 2025