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Background: The use of potentially inappropriate medications (PIMS) may pose more risks than benefits to patients, and is a major factor contributing to the likelihood of serious adverse drug reactions and negative health outcomes among older patients.
Methods: A retrospective chart review was conducted in a tertiary care center, Huntsville Hospital, Alabama, USA, where home medications of older patients were reviewed and analyzed upon hospital admission from March till May 2016. Inclusion criteria were age ≥65 years, history of cardiovascular (CV) disease, and admission to the cardiology service. The PIMs were identified using the updated 2015 Beers criteria.
Results: A total of 404 patients with a mean age of 76.6 ± 7.4 years were included of which 52.1 % were males. Patients had a mean of 6.1 ± 2.4 comorbidities and were taking a total of 4669 medications at home, an average of 11.6 ± 4.5 medication per patient. Prevalence of PIMs among home medications was 20%, with an average of 2.4 PIM per patient, and 87.4% of patients were receiving at least one PIM. Factors association with more PIMs were number of home medications, female gender, and number of comorbidities. The most common PIMs are shown in Table 2.
Conclusions: High prevalence of PIMs in older patients with CV disease was observed. Provider education and detailed assessment of medication lists upon hospital admission by multidisciplinary teams can help in preventing the use of PIMs.
Poster Hall, Hall C
Friday, March 17, 2017, 3:45 p.m.-4:30 p.m.
Session Title: Current Issues in Cardiovascular Epidemiology, Disparities, and Safety
Abstract Category: 32. Prevention: Clinical
Presentation Number: 1148-067
- 2017 American College of Cardiology Foundation