Category: Professional Posters
Purpose: Inappropriate prescribing (IP) in older patients is highly prevalent and is associated with increased risk of adverse drug events, morbidity, and mortality. Consequently, several criteria have been used to measure the appropriateness of medication prescription in such a vulnerable population. Explicit criteria are usually drug or disease orientated and frequently focus on selected drugs to avoid. On the other hand, implicit measures depend on clinical judgment. Using these criteria, The current study aimed to estimate the most common disorders encountered in a Lebanese elderly care center and the prevalence of IP.
Methods: A retrospective observational study was conducted at elderly daycare in Beirut during spring 2018. Patients’ files were screened to gather demographic data, social and past medical history along with current medications taken. The clinical picture for each patient was evaluated using a tool that includes the Medication Appropriateness Index. Data collected was strictly confidential. Statistical analysis was performed using SPSS (version 20). The results were considered significant at P < 0.05.
Results: The results showed a high prevalence of liver disorders and osteoporosis in this population followed by diabetes, hypertension, and others. This necessitates close monitoring of elderly patients to adjust dose accordingly. As for the IP, drug indication and cost of the drugs were the most encountered problems followed by effectiveness, drug-drug interactions and duration problems. As the number of drugs increased the IP increased (p<0.05).
Conclusion: As a conclusion, a clinical pharmacist is indispensable in elderly daycare to minimize IP.