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Potentially inappropriate medications (PIMs) in older hospital in-patients: Prevalence, contribution to hospital admission and documentation of rationale for continuation.

Author information

Affiliations

  • 1. Department of Geriatric Medicine, St. Vincent's Hospital, Sydney, New South Wales, Australia.
      Authors
    • Ní Chróinín D 1
    • Xiao D 1
    • Brazel C 1
    • Farnham N 1
    • Perram J 1
    • Roach TS 1
    • Sutherland E 1
    • Beveridge A 1
    (8 authors)
  • 2. School of Medicine, Federal University of Bahia, Bahia, Brazil.
      Authors
    • Neto HM 2
    (1 author)
  • 3. Department of Pharmacy, St. Vincent's Hospital, Sydney, New South Wales, Australia.
      Authors
    • Sandhu A 3
    (1 author)
  • 4. Department of Clinical Pharmacology and Toxicology, St. Vincent's Hospital, Sydney, New South Wales, Australia.
      Authors
    • Day R 4
    (1 author)

ORCIDs linked to this article

Australasian Journal on Ageing, 11 Mar 2016, 35(4):262-265
https://doi.org/10.1111/ajag.12312 PMID: 26970209 

Abstract 

Aim

To establish prevalence, sequelae and documentation of potentially inappropriate medication (PIM) use in older hospital in-patients.

Methods

Notes of all patients ≥65 years old, admitted to our tertiary teaching hospital (January 2013), were retrospectively reviewed, and the Screening Tool of Older Persons' potentially inappropriate Prescriptions applied.

Results

Amongst 534 patients, 54.8% (284) were on ≥1 PIM at admission, 26.8% on multiple; 60.8% were discharged on a PIM. Six percent of all admissions were potentially attributable to a PIM; falls associated with risk therapies were commonest (23/30), and often (65.2%) associated with serious injury. Pre-specified subgroup analysis (n = 100) identified 101 PIMs-at-discharge amongst 47 patients. In 82.2%, a clinical rationale for continued prescription was documented, with this communicated to the GP by letter in 71.1%.

Conclusion

PIMs were common, and contributed to admission and injury. Hospitalisation provides an opportunity for medication rationalisation, and documentation of rationale for any PIM use.

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Read article at publisher's site: https://doi.org/10.1111/ajag.12312

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