Assessing the Geriatric Medication safety under AGS Beer’s criteria 2023 in Tertiary care Hospital

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K Lakshmibharathi, Christian Jeenamol Monachan, K M Prathap, R Saravanan, C Jagan Mohan, Priscilla Mary J

Abstract

Background: The Beers Criteria, developed by the American Geriatrics Society (AGS), is a comprehensive strategy for reducing potentially inappropriate medicine (PIM) use in the elderly population. Using the Beers criteria, this study evaluates geriatric prescriptions in order to analyze the prevalence of possibly inappropriate drugs.


Methodology: Using a data collecting form, a six-month cross-sectional study will be conducted in the teaching hospital for tertiary care. The case record form will be used to record information such as age, gender, department, lab results, recommended medications, doses, and duration. Potentially inappropriate medicine will be recognized using the AGS 2023 modified Beer's criteria.


Results: Based on data from 255 patients, the results showed that 53.3 percent of the patients were male, 52.5 percent were in the 65–70 age range, and 43.5 percent were geriatric patients from general medicine. A minimum of one PIM was given for each of the 308 PIMs, 41.6% contain one PIM drugs ,  27.8% were two PIMs respectively. With around 25.9% most frequently prescribed PIM was shown to be pantoprazole, followed by diuretics with 22% of patients given. IBM SPSS STATISTICS 29.0 VERSION was utilized for data analysis and interpretation. A relationship between the number of PIMs and the number of comorbidities by using chi-square test and the p value is 0.045 found significant.


Conclusion: Every prescription that was examined in the study had at least one PIM, according to the findings of the study on hospital prescribing practices. It was also observed that the number of comorbidities and the patients' age were associated to the prevalence of PIMs. The findings indicate that PIM prescription is frequently given to elderly Indian patients who are hospitalized.

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