Analysis of Potentially Inappropriate Medication Among Community Elderly Patients in Dongcheng District of Beijing
NI Bing-yu1, FU Meng-yuan1, XIEKEZHATI Wusumanjiang1, JIA Hong-mei2, WANG Fang3, CHEN Zi-hao4,5, ZHAO Yi-le6, SHI Lu-wen1,5, GUAN Xiao-dong1,5*
1. Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmaceutical Sciences, Peking University, Beijing 100191, China; 2. Committee of Health and Family Planning of Dongcheng District, Beijing 100007, China; 3. Dongcheng District Community Health Service Management Center, Beijing 100010, China; 4. Office of the President, Peking University Health Science Center, Beijing 100191, China; 5. International Research Center for Medicinal Administration, Peking University, Beijing 100191, China; 6. Second Hospital of Hebei Medical University, Shijiazhuang 050000, China
Abstract��OBJECTIVE To evaluate the prevalence and risk factors of potentially inappropriate medication (PIM) among elderly inpatients in community health care institutions in Dongcheng district. METHODS The outpatient prescriptions of patients aged 60 and above in community health care institutions in Dongcheng district in 2017 were analyzed. The proportion of PIM prescriptions and the utilization rate of PIM drugs were calculated according to the criteria of potentially inappropriate medications for older adults in China (2017). Logistic model was built to analyze the influence factors of PIM. RESULTS The 1 045 269 prescriptions were collected in this study. The 12.9% prescriptions had at least one PIM prescribed. The top 3 drugs in PIM prescriptions were clopidogrel (42.5%), estazolam (24.2%) and ibuprofen (11.4%). The logistic regression analysis revealed that the significant predictors for PIM prescription were: visits of healthcare center; doctors�� male gender and lower-class title; patients�� male gender, elder age, more illness and more drugs. CONCLUSION The situation of PIM prescriptions needs to be improved for the elderly inpatients in community health care institutions in Dongcheng district. To reduce the incidence of PIM in elderly patients, the criteria of potentially inappropriate medications for older adults in China requires further promotion.
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NI Bing-yu, FU Meng-yuan, XIEKEZHATI Wusumanjiang, JIA Hong-mei, WANG Fang, CHEN Zi-hao, ZHAO Yi-le, SHI Lu-wen, GUAN Xiao-dong. Analysis of Potentially Inappropriate Medication Among Community Elderly Patients in Dongcheng District of Beijing. Chinese Pharmaceutical Journal, 2019, 54(5): 415-419.
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