Análisis de la prescripción potencialmente inadecuada según los criterios STOPP/START en un centro socioasistencial

Abstract

Introduction: The increase in life expectancy means that more and more polymedicated, pluripathological and institutionalized individuals are more susceptible to drug interactions, adverse reactions and potentially inappropriate prescriptions (PPI). Aim: To analyze the PPI according to the STOPP / START 2014 criteria in patients ≥ 65 years residing in a long term care facility. To estimate the average of relevant pharmacological interactions for each patient as well as the most frequent type of interaction. Methods: It was carried out a three-month descriptive observational study in which the treatments of ≥ 65 years patients from a long term care facility linked to the Pharmacy Service of the hospital were reviewed. The variables studied were age, sex, type of pathology, number of pathologies per patient, chronic prescribed medication, number of medications per patient, potentially inappropriate prescription (PPI), type of PPI, type of PPI START, number of PPI START, type of PPI STOPP, number of PPI STOPP, relevant interaction and type of interaction. Results: The sample size was 103 patients. 73.8% were women. The average age was 85.2 ± 7.9 years. Average consumption of drugs was 7.4 ± 2.9. 81.6% of the patients presented PPI with 2, 2 ± 0, 9 criteria per patient. 57.3% of the patients presented some potential interaction. Conclusions: The STOPP / START criteria are a useful tool to avoid PPI. A program of medication adaptation created by a multidisciplinary team could provide health benefits in this sector.