<oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
  <dc:creator>Lang PO</dc:creator>
  <dc:creator>Hasso Y</dc:creator>
  <dc:creator>Dramé M</dc:creator>
  <dc:creator>Vogt-Ferrier N</dc:creator>
  <dc:creator>Prudent M</dc:creator>
  <dc:creator>Gold G</dc:creator>
  <dc:creator>Michel JP</dc:creator>
  <dc:date>2010</dc:date>
  <dc:description xmlns:ns0="xml" ns0:lang="en">OBJECTIVE
the study aimed to determine the prevalence of and risk factors for inappropriate prescribing (IP) and prescribing omission (PO) in elderly with mental co-morbidities.


PARTICIPANTS
One hundred fifty consecutive inpatients with mental co-morbidities hospitalised for acute medical illness (mean age 80 +/- 9, 70% of women) were considered for the study.


MEASUREMENTS
IP and PO were prospectively identified according to STOPP/START criteria at hospital admission.


RESULTS
over 95% were taking &gt;or=1 medication (median = 7) which amounted to 1,137 prescriptions. The prevalence of IP was 77% and PO was 65%. The most frequent encountered IP concerned drugs adversely affecting fallers (25%) and antiaggregants therapy without atherosclerosis (14%). PO concerned antidepressants with moderate/severe depression (20%) and calcium-vitamin D supplementation (18%). Independent predictors for IP were increased number of concomitant drugs (odds ratio [OR] 1.54, 95% confidence interval [CI] 1.13-1.89), being cognitively impaired (OR 1.83, 95% CI 1.55-2.24), and having fallen in the preceding 3 months (OR 2.03, 95% CI 1.52-2.61) or hospitalised in the preceding year (OR 1.09, 95% CI 1.02-1.23). Concerning PO, psychiatric disorder (OR 1.64, 95% CI 1.42-2.01) and increase level of co-morbidities (OR 1.79, 95% CI 1.48-1.99) were identified. Living in an institutional setting was a predictive maker for both IP (OR 1.45, 95% CI 1.27-1.74) and PO (OR 1.67, 95% CI 1.32-1.91).


CONCLUSION
IP and PO were highly prevalent raising the need of a greater health literacy concerning geriatric conditions in non-geriatrician practitioners who care elderly as well as in the community, in hospital and institutional settings for improving quality and safety in prescribing medication.</dc:description>
  <dc:format>application/pdf</dc:format>
  <dc:identifier>https://sonar.ch/global/documents/108999</dc:identifier>
  <dc:language>eng</dc:language>
  <dc:relation>info:eu-repo/semantics/altIdentifier/doi/10.1093/ageing/afq031</dc:relation>
  <dc:relation>info:eu-repo/semantics/altIdentifier/pmid/20378571</dc:relation>
  <dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
  <dc:source>Age and ageing. - 2010</dc:source>
  <dc:subject xmlns:ns1="xml" ns1:lang="en">Aged</dc:subject>
  <dc:subject xmlns:ns2="xml" ns2:lang="en">Aged, 80 and over</dc:subject>
  <dc:subject xmlns:ns3="xml" ns3:lang="en">Comorbidity</dc:subject>
  <dc:subject xmlns:ns4="xml" ns4:lang="en">Drug Prescriptions</dc:subject>
  <dc:subject xmlns:ns5="xml" ns5:lang="en">Female</dc:subject>
  <dc:subject xmlns:ns6="xml" ns6:lang="en">Humans</dc:subject>
  <dc:subject xmlns:ns7="xml" ns7:lang="en">Inpatients</dc:subject>
  <dc:subject xmlns:ns8="xml" ns8:lang="en">Male</dc:subject>
  <dc:subject xmlns:ns9="xml" ns9:lang="en">Medication Errors</dc:subject>
  <dc:subject xmlns:ns10="xml" ns10:lang="en">Mental Disorders</dc:subject>
  <dc:subject xmlns:ns11="xml" ns11:lang="en">Practice Patterns, Physicians'</dc:subject>
  <dc:subject xmlns:ns12="xml" ns12:lang="en">Prevalence</dc:subject>
  <dc:subject xmlns:ns13="xml" ns13:lang="en">Prospective Studies</dc:subject>
  <dc:subject xmlns:ns14="xml" ns14:lang="en">Psychotropic Drugs</dc:subject>
  <dc:subject xmlns:ns15="xml" ns15:lang="en">Risk Factors</dc:subject>
  <dc:title xmlns:ns16="xml" ns16:lang="en">Potentially inappropriate prescribing including under-use amongst older patients with cognitive or psychiatric co-morbidities.</dc:title>
  <dc:type>http://purl.org/coar/resource_type/c_6501</dc:type>
</oai_dc:dc>