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- W2885140987 abstract "The pluripathological chronic patients, small percentage of the population, consume a high percentage of health resources and its total expenditure, influencing their polymedication and the problems associated with it. Objective: To analyze the proportion, characteristics and association with other sociodemographic and clinical variables of the Inappropriate Prescription (IP) in pluripathological patients aged ≥65 in a Primary Health Care Centre, using the STOPP- START criteria and the correct prescription of Proton-Pump Inhibitors (PPIs) guidelines. Methods: Transversal study of chronic and on demand medication (considering STOPPSTART criteria and PPIs guidelines), of the patients of one Primary Health Care Centre included in an institutional program for pluripathological patients (according to a predictive complexity index based on the Kaiser’s Pyramid), adding new patients meeting “Ollero criteria” and ≥1 hospital admission during the previous year. Complementary variables were sociodemographic (gender, age), clinical (Charlson comorbidity Index, number/ characteristics of the drugs), and functional (Barthel Index) ones. Results: The 85% of the patients (with >4 usual drugs) had ≥1 STOPP or START criteria (2015 version), and 29.1% IP considering PPIs. The most frequent STOPP criterion were aldosterone antagonists with other drugs that raise potassium level (11,5%), NSAIDs in heart failure (10.6%), and the use of ≥2 antimuscarinic/anticholinergics (8.7%). Moreover, the START pneumococcal (37.3% of 67) and influenza (23.9%) vaccination. With 2009 criteria, the most common STOPP were NSAIDs in heart failure and benzodiazepines (both 17.2% of 64) and duplicities (7.8%), and the START non-prescribing statins (26% of 23). Having a STOPP criterion was associated with lower score in the Barthel, and with the total number of medications (both p= 0.02). Conclusions: STOPP-START criteria are useful to analyze the IP in elderly pluripathological patients, which remains high. There is a qualitative change and higher capacity detecting IP with the new criteria (2015)." @default.
- W2885140987 created "2018-08-22" @default.
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- W2885140987 date "2018-07-05" @default.
- W2885140987 modified "2023-09-23" @default.
- W2885140987 title "Prescripción inadecuada, crónica y a demanda, en pacientes pluripatológicos ≥65 años según los criterios STOPP-START" @default.
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