Agreement between the 2009 STOPP Criteria and the 2003 Beers Criteria at the time of hospital admission

Potentially inappropriate prescription in elderly patients can be evaluated by different methods. The STOPP Criteria and Beers Criteria stand out among the explicit criteria most widely used. Objective: The main objective of this study is to identify the agreement in the detection of potentially ina...

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Main Authors: María Muñoz García, Eva Delgado Silveira, Sagrario Martín-Aragón Álvarez, Teresa Bermejo Vicedo, Alfonso José Cruz-Jentoft
Format: Article
Language:English
Published: Elsevier 2016-12-01
Series:Farmacia Hospitalaria
Subjects:
Online Access:http://www.aulamedica.es/fh/pdf/8886.pdf
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author María Muñoz García
Eva Delgado Silveira
Sagrario Martín-Aragón Álvarez
Teresa Bermejo Vicedo
Alfonso José Cruz-Jentoft
author_facet María Muñoz García
Eva Delgado Silveira
Sagrario Martín-Aragón Álvarez
Teresa Bermejo Vicedo
Alfonso José Cruz-Jentoft
author_sort María Muñoz García
collection DOAJ
description Potentially inappropriate prescription in elderly patients can be evaluated by different methods. The STOPP Criteria and Beers Criteria stand out among the explicit criteria most widely used. Objective: The main objective of this study is to identify the agreement in the detection of potentially inappropriate prescribing between the STOPP criteria and the Beers Criteria, in elderly patients assessed at the time of hospital admission. Method: An observational retrospective study was designed in order to estimate the prevalence of potentially inappropriate prescription in the habitual treatment before admission, and to compare the agreement in detection capability between the 2003 Beers Criteria and the 2009 STOPP Criteria, in >70-yearold patients with an emergency hospital admission. There was also a specific analysis of the prescription of first-generation antihistamines, tricyclic antidepressants, benzodiazepines, and selective serotonin reuptake inhibitors, which are considered drugs with irregular management and potential toxicity. Results: The total prevalence of patients with a potentially inappropriate prescription was 23.8% using the Beers Criteria and 33.3% using the STOPP Criteria. There was a low level of agreement between both questionnaires. First-generation antihistamines (Beers) and pharmacological duplication (STOPP J) were the criteria most frequently found. There were differences in the prevalence of potentially inappropriate prescription in the four pharmacological groups selected; and in all cases, detection by Beers Criteria was superior. Conclusion: There is no agreement between the STOPP Criteria and the Beers Criteria regarding the detection of patients with potentially inappropriate prescribing at the time of hospital admission.
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spelling doaj-art-381ea9518df44bbca5a7205d4ce8039b2025-08-20T02:18:03ZengElsevierFarmacia Hospitalaria1130-63432171-86952016-12-0140650451310.7399/fh.2016.40.6.8886Agreement between the 2009 STOPP Criteria and the 2003 Beers Criteria at the time of hospital admissionMaría Muñoz García0Eva Delgado Silveira1Sagrario Martín-Aragón Álvarez2Teresa Bermejo Vicedo3Alfonso José Cruz-Jentoft4Pharmacy Department. Hospital Universitario Ramón y Cajal.Pharmacy Department. Hospital Universitario Ramón y Cajal.Pharmacology Department. School of Pharmacy. Universidad Complutense de Madrid (UCMPharmacy Department. Hospital Universitario Ramón y Cajal.Geriatrics Department. Hospital Universitario Ramón y Cajal.Potentially inappropriate prescription in elderly patients can be evaluated by different methods. The STOPP Criteria and Beers Criteria stand out among the explicit criteria most widely used. Objective: The main objective of this study is to identify the agreement in the detection of potentially inappropriate prescribing between the STOPP criteria and the Beers Criteria, in elderly patients assessed at the time of hospital admission. Method: An observational retrospective study was designed in order to estimate the prevalence of potentially inappropriate prescription in the habitual treatment before admission, and to compare the agreement in detection capability between the 2003 Beers Criteria and the 2009 STOPP Criteria, in >70-yearold patients with an emergency hospital admission. There was also a specific analysis of the prescription of first-generation antihistamines, tricyclic antidepressants, benzodiazepines, and selective serotonin reuptake inhibitors, which are considered drugs with irregular management and potential toxicity. Results: The total prevalence of patients with a potentially inappropriate prescription was 23.8% using the Beers Criteria and 33.3% using the STOPP Criteria. There was a low level of agreement between both questionnaires. First-generation antihistamines (Beers) and pharmacological duplication (STOPP J) were the criteria most frequently found. There were differences in the prevalence of potentially inappropriate prescription in the four pharmacological groups selected; and in all cases, detection by Beers Criteria was superior. Conclusion: There is no agreement between the STOPP Criteria and the Beers Criteria regarding the detection of patients with potentially inappropriate prescribing at the time of hospital admission.http://www.aulamedica.es/fh/pdf/8886.pdfPotentially inappropriate prescribingSTOPPBeers
spellingShingle María Muñoz García
Eva Delgado Silveira
Sagrario Martín-Aragón Álvarez
Teresa Bermejo Vicedo
Alfonso José Cruz-Jentoft
Agreement between the 2009 STOPP Criteria and the 2003 Beers Criteria at the time of hospital admission
Farmacia Hospitalaria
Potentially inappropriate prescribing
STOPP
Beers
title Agreement between the 2009 STOPP Criteria and the 2003 Beers Criteria at the time of hospital admission
title_full Agreement between the 2009 STOPP Criteria and the 2003 Beers Criteria at the time of hospital admission
title_fullStr Agreement between the 2009 STOPP Criteria and the 2003 Beers Criteria at the time of hospital admission
title_full_unstemmed Agreement between the 2009 STOPP Criteria and the 2003 Beers Criteria at the time of hospital admission
title_short Agreement between the 2009 STOPP Criteria and the 2003 Beers Criteria at the time of hospital admission
title_sort agreement between the 2009 stopp criteria and the 2003 beers criteria at the time of hospital admission
topic Potentially inappropriate prescribing
STOPP
Beers
url http://www.aulamedica.es/fh/pdf/8886.pdf
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