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. 2022 Jun 27;19(3):305-313.
doi: 10.4274/tjps.galenos.2021.94556.

Potentially Inappropriate Medication Use in Older Adults with Chronic Kidney Disease

Aysel Pehlivanlı  1   2 , Aysu Selçuk  1 , Şahin Eyüpoğlu  3 , Şehsuvar Ertürk  3 , Arif Tanju Özçelikay  4
Affiliations

Potentially Inappropriate Medication Use in Older Adults with Chronic Kidney Disease

Aysel Pehlivanlı et al. Turk J Pharm Sci. .

Abstract

Objectives: This study aimed to identify the prevalence of potentially inappropriate medication use (PIMU) in adults above the age of 65 with chronic kidney disease (CKD) according to the American Geriatric Society Beers Criteria (Beers), Screening Tool of Older People's Potentially Inappropriate Prescriptions Criteria (STOPP) and medication appropriateness index (MAI) 30 criteria and to compare them to justify their use in this specific patient group.

Materials and methods: This was a retrospective and descriptive study conducted between October 1st, 2019 and March 18th, 2020 at Ibni Sina Hospital, Nephrology Department, Faculty of Medicine, Ankara University.

Results: Among 269 patients discharged from the hospital during the study period, 100 of them were eligible for the study. The mean age was 73.3 ± 6.9 years and 51.9% of them were male. The prevalence of 35 PIMU was 91%, 42%, and 70% according to the Beers, STOPP, and MAI criteria, respectively. There was a statistically significant difference in terms of prevalence among 3 criteria (p<0.001). Beer detected more PIMU (11.3% vs. 6.4%) and had higher sensitivity among older adults with CKD (0.97 vs. 0.56) compared to the STOPP criteria. Most patients had at least one drug-drug interaction (DDIs) in their discharge prescription (93%) and DDI was one of the main contributors of PIMU. Proton pump inhibitors were the most common medication associated with PIMU in all 3 criteria.

Conclusion: The prevalence of PIMU was high among older adults with CKD at discharge according to these criteria. To improve the prescriptions after hospital discharge, it is considered appropriate to use Beers criteria under guidance of a clinical pharmacist.

Keywords: Potentially inappropriate medication use; chronic kidney disease; older adults.

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Conflict of interest statement

Conflict of Interest: No conflict of interest was declared by the authors.

Figures

Figure 1
Figure 1
Selection of the patients
Figure 2
Figure 2
Percentage of drug-drug interaction categories based on Lexicomp®
See this image and copyright information in PMC

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