Prevention of Hospital-Acquired Adverse Drug Reactions in Older People Using Screening Tool of Older Persons' Prescriptions and Screening Tool to Alert to Right Treatment Criteria: A Cluster Randomized Controlled Trial
Objectives To determine whether use of the Screening Tool of Older Persons' Prescriptions (STOPP) and Screening Tool to Alert to Right Treatment (START) criteria reduces incident hospital‐acquired adverse drug reactions (ADRs), 28‐day medication costs, and median length of hospital stay in olde...
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| Published in: | Journal of the American Geriatrics Society (JAGS) Vol. 64; no. 8; pp. 1558 - 1566 |
|---|---|
| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
United States
Blackwell Publishing Ltd
01.08.2016
Wiley Subscription Services, Inc |
| Subjects: | |
| ISSN: | 0002-8614, 1532-5415 |
| Online Access: | Get full text |
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| Abstract | Objectives
To determine whether use of the Screening Tool of Older Persons' Prescriptions (STOPP) and Screening Tool to Alert to Right Treatment (START) criteria reduces incident hospital‐acquired adverse drug reactions (ADRs), 28‐day medication costs, and median length of hospital stay in older adults admitted with acute illness.
Design
Single‐blind cluster randomized controlled trial (RCT) of unselected older adults hospitalized over a 13‐month period.
Setting
Tertiary referral hospital in southern Ireland.
Participants
Consecutively admitted individuals aged 65 and older (N = 732).
Intervention
Single time point presentation to attending physicians of potentially inappropriate medications according to the STOPP/START criteria.
Measurements
The primary outcome was the proportion of participants experiencing one or more ADRs during the index hospitalization. Secondary outcomes were median length of stay (LOS) and 28‐day total medication cost.
Results
One or more ADRs occurred in 78 of the 372 control participants (21.0%; median age 78, interquartile range (IQR) 72–84) and in 42 of the 360 intervention participants (11.7%; median age 80, IQR 73–85) (absolute risk reduction = 9.3%, number needed to treat = 11). The median LOS in the hospital was 8 days (IQR 4–14 days) in both groups. At discharge, median medication cost was significantly lower in the intervention group (€73.16, IQR €38.68–121.72) than in the control group (€90.62, IQR €49.38–162.53) (Wilcoxon rank test Z statistic = −3.274, P < .001).
Conclusion
Application of STOPP/START criteria resulted in significant reductions in ADR incidence and medication costs in acutely ill older adults but did not affect median LOS. |
|---|---|
| AbstractList | Objectives
To determine whether use of the Screening Tool of Older Persons' Prescriptions (STOPP) and Screening Tool to Alert to Right Treatment (START) criteria reduces incident hospital‐acquired adverse drug reactions (ADRs), 28‐day medication costs, and median length of hospital stay in older adults admitted with acute illness.
Design
Single‐blind cluster randomized controlled trial (RCT) of unselected older adults hospitalized over a 13‐month period.
Setting
Tertiary referral hospital in southern Ireland.
Participants
Consecutively admitted individuals aged 65 and older (N = 732).
Intervention
Single time point presentation to attending physicians of potentially inappropriate medications according to the STOPP/START criteria.
Measurements
The primary outcome was the proportion of participants experiencing one or more ADRs during the index hospitalization. Secondary outcomes were median length of stay (LOS) and 28‐day total medication cost.
Results
One or more ADRs occurred in 78 of the 372 control participants (21.0%; median age 78, interquartile range (IQR) 72–84) and in 42 of the 360 intervention participants (11.7%; median age 80, IQR 73–85) (absolute risk reduction = 9.3%, number needed to treat = 11). The median LOS in the hospital was 8 days (IQR 4–14 days) in both groups. At discharge, median medication cost was significantly lower in the intervention group (€73.16, IQR €38.68–121.72) than in the control group (€90.62, IQR €49.38–162.53) (Wilcoxon rank test Z statistic = −3.274, P < .001).
Conclusion
Application of STOPP/START criteria resulted in significant reductions in ADR incidence and medication costs in acutely ill older adults but did not affect median LOS. To determine whether use of the Screening Tool of Older Persons' Prescriptions (STOPP) and Screening Tool to Alert to Right Treatment (START) criteria reduces incident hospital-acquired adverse drug reactions (ADRs), 28-day medication costs, and median length of hospital stay in older adults admitted with acute illness. Single-blind cluster randomized controlled trial (RCT) of unselected older adults hospitalized over a 13-month period. Tertiary referral hospital in southern Ireland. Consecutively admitted individuals aged 65 and older (N = 732). Single time point presentation to attending physicians of potentially inappropriate medications according to the STOPP/START criteria. The primary outcome was the proportion of participants experiencing one or more ADRs during the index hospitalization. Secondary outcomes were median length of stay (LOS) and 28-day total medication cost. One or more ADRs occurred in 78 of the 372 control participants (21.0%; median age 78, interquartile range (IQR) 72-84) and in 42 of the 360 intervention participants (11.7%; median age 80, IQR 73-85) (absolute risk reduction = 9.3%, number needed to treat = 11). The median LOS in the hospital was 8 days (IQR 4-14 days) in both groups. At discharge, median medication cost was significantly lower in the intervention group (€73.16, IQR €38.68-121.72) than in the control group (€90.62, IQR €49.38-162.53) (Wilcoxon rank test Z statistic = -3.274, P < .001). Application of STOPP/START criteria resulted in significant reductions in ADR incidence and medication costs in acutely ill older adults but did not affect median LOS. Objectives To determine whether use of the Screening Tool of Older Persons' Prescriptions (STOPP) and Screening Tool to Alert to Right Treatment (START) criteria reduces incident hospital-acquired adverse drug reactions (ADRs), 28-day medication costs, and median length of hospital stay in older adults admitted with acute illness. Design Single-blind cluster randomized controlled trial (RCT) of unselected older adults hospitalized over a 13-month period. Setting Tertiary referral hospital in southern Ireland. Participants Consecutively admitted individuals aged 65 and older (N = 732). Intervention Single time point presentation to attending physicians of potentially inappropriate medications according to the STOPP/START criteria. Measurements The primary outcome was the proportion of participants experiencing one or more ADRs during the index hospitalization. Secondary outcomes were median length of stay (LOS) and 28-day total medication cost. Results One or more ADRs occurred in 78 of the 372 control participants (21.0%; median age 78, interquartile range (IQR) 72-84) and in 42 of the 360 intervention participants (11.7%; median age 80, IQR 73-85) (absolute risk reduction = 9.3%, number needed to treat = 11). The median LOS in the hospital was 8 days (IQR 4-14 days) in both groups. At discharge, median medication cost was significantly lower in the intervention group ([euro]73.16, IQR [euro]38.68-121.72) than in the control group ([euro]90.62, IQR [euro]49.38-162.53) (Wilcoxon rank test Z statistic = -3.274, P < .001). Conclusion Application of STOPP/START criteria resulted in significant reductions in ADR incidence and medication costs in acutely ill older adults but did not affect median LOS. Objectives To determine whether use of the Screening Tool of Older Persons' Prescriptions (STOPP) and Screening Tool to Alert to Right Treatment (START) criteria reduces incident hospital-acquired adverse drug reactions (ADRs), 28-day medication costs, and median length of hospital stay in older adults admitted with acute illness. Design Single-blind cluster randomized controlled trial (RCT) of unselected older adults hospitalized over a 13-month period. Setting Tertiary referral hospital in southern Ireland. Participants Consecutively admitted individuals aged 65 and older (N = 732). Intervention Single time point presentation to attending physicians of potentially inappropriate medications according to the STOPP/START criteria. Measurements The primary outcome was the proportion of participants experiencing one or more ADRs during the index hospitalization. Secondary outcomes were median length of stay (LOS) and 28-day total medication cost. Results One or more ADRs occurred in 78 of the 372 control participants (21.0%; median age 78, interquartile range (IQR) 72-84) and in 42 of the 360 intervention participants (11.7%; median age 80, IQR 73-85) (absolute risk reduction = 9.3%, number needed to treat = 11). The median LOS in the hospital was 8 days (IQR 4-14 days) in both groups. At discharge, median medication cost was significantly lower in the intervention group ([Euro73.16, IQR [Euro38.68-121.72) than in the control group ([Euro90.62, IQR [Euro49.38-162.53) (Wilcoxon rank test Z statistic = -3.274, P < .001). Conclusion Application of STOPP/START criteria resulted in significant reductions in ADR incidence and medication costs in acutely ill older adults but did not affect median LOS. OBJECTIVESTo determine whether use of the Screening Tool of Older Persons' Prescriptions (STOPP) and Screening Tool to Alert to Right Treatment (START) criteria reduces incident hospital-acquired adverse drug reactions (ADRs), 28-day medication costs, and median length of hospital stay in older adults admitted with acute illness.DESIGNSingle-blind cluster randomized controlled trial (RCT) of unselected older adults hospitalized over a 13-month period.SETTINGTertiary referral hospital in southern Ireland.PARTICIPANTSConsecutively admitted individuals aged 65 and older (N = 732).INTERVENTIONSingle time point presentation to attending physicians of potentially inappropriate medications according to the STOPP/START criteria.MEASUREMENTSThe primary outcome was the proportion of participants experiencing one or more ADRs during the index hospitalization. Secondary outcomes were median length of stay (LOS) and 28-day total medication cost.RESULTSOne or more ADRs occurred in 78 of the 372 control participants (21.0%; median age 78, interquartile range (IQR) 72-84) and in 42 of the 360 intervention participants (11.7%; median age 80, IQR 73-85) (absolute risk reduction = 9.3%, number needed to treat = 11). The median LOS in the hospital was 8 days (IQR 4-14 days) in both groups. At discharge, median medication cost was significantly lower in the intervention group (€73.16, IQR €38.68-121.72) than in the control group (€90.62, IQR €49.38-162.53) (Wilcoxon rank test Z statistic = -3.274, P < .001).CONCLUSIONApplication of STOPP/START criteria resulted in significant reductions in ADR incidence and medication costs in acutely ill older adults but did not affect median LOS. |
| Author | Eustace, Joseph O'Connor, Marie N. O'Sullivan, David Gallagher, Paul F. O'Mahony, Denis Byrne, Stephen |
| Author_xml | – sequence: 1 givenname: Marie N. surname: O'Connor fullname: O'Connor, Marie N. organization: Division of Geriatrics, Department of Medicine, University College Cork, Cork, Ireland – sequence: 2 givenname: David surname: O'Sullivan fullname: O'Sullivan, David organization: School of Pharmacy, University College Cork, Cork, Ireland – sequence: 3 givenname: Paul F. surname: Gallagher fullname: Gallagher, Paul F. organization: Division of Geriatrics, Department of Medicine, University College Cork, Cork, Ireland – sequence: 4 givenname: Joseph surname: Eustace fullname: Eustace, Joseph organization: Health Research Board Clinical Research Facility, University College Cork, Cork, Ireland – sequence: 5 givenname: Stephen surname: Byrne fullname: Byrne, Stephen organization: School of Pharmacy, University College Cork, Cork, Ireland – sequence: 6 givenname: Denis surname: O'Mahony fullname: O'Mahony, Denis email: denis.omahony@ucc.ie organization: Division of Geriatrics, Department of Medicine, University College Cork, Cork, Ireland |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27365262$$D View this record in MEDLINE/PubMed |
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| Copyright | 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society. 2016 American Geriatrics Society and Wiley Periodicals, Inc. |
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| Keywords | STOPP/START criteria adverse drug reaction elderly prevention |
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| Notes | ark:/67375/WNG-8D5HRF14-F Table S1. Diagnostic profiles of the control and intervention groups. Table S2. Frequency of potentially inappropriate prescriptions in the intervention group. Health Research Board of Ireland - No. HRA_HSR/2010/14 ArticleID:JGS14312 istex:6093B8E7CE0B47269B444E34C6368DCFFBE606B0 ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 ObjectType-Undefined-3 |
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| References | Hanlon JT, Pieper CF, Hajjar ER et al. Incidence and predictors of all and preventable adverse drug reactions in frail elderly persons after hospital stay. J Gerontol A Biol Sci Med Sci 2006;61A:511-555. Onder G, van der Cammen TJ, Petrovic M et al. Strategies to reduce the risk of iatrogenic illness in complex older adults. Age Ageing 2013;42:284-291. By the American Geriatrics Society 2015 Beers Criteria Update Expert Panel. American Geriatrics Society 2015 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. J Am Geriatr Soc 2015;63:2227-2246. Scott I, Jayathissa S. Quality of drug prescribing in older patients: Is there a problem and can we improve it? Intern Med J 2010;40:7-18. O'Connor MN, Gallagher P, Byrne S et al. Adverse drug reactions in older patients during hospitalisation: Are they predictable? Age Ageing 2012;41:771-776. Nguyen JK, Fouts MM, Kotabe SE et al. Polypharmacy as a risk factor for adverse drug reactions in geriatric nursing home residents. Am J Geriatr Pharmacother 2006;4:36-41. O'Sullivan DP, O'Mahony D, Parsons C et al. A prevalence study of potentially inappropriate prescribing in Irish long-term care residents. Drugs Aging 2013;30:39-49. Patel TK, Patel PB. Incidence of adverse drug reactions in Indian hospitals: A systematic review of prospective studies. Curr Drug Saf 2016;11:128-136. Hamilton H, Gallagher P, Ryan C et al. Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients. Arch Intern Med 2011;171:1013-1019. Frankenthal D, Lerman Y, Kalendaryev E et al. Intervention with the Screening Tool of Older Persons Potentially Inappropriate Prescriptions/Screening Tool to Alert Doctors to Right Treatment criteria in elderly residents of a chronic geriatric facility: A randomized clinical trial. J Am Geriatr Soc 2014;62:1658-1665. Leendertse AJ, Van Den Bemt PM, Poolman JB et al. Preventable hospital admissions related to medication (HARM): Cost analysis of the HARM study. Value Health 2011;14:34-40. Dalleur O, Boland B, Losseau C et al. Reduction of potentially inappropriate medications using the STOPP criteria in frail older inpatients: A randomised controlled study. Drugs Aging 2014;31:291-298. Hallas J, Harvald B, Gram LF et al. Drug related hospital admissions: The role of definitions and intensity of data collection, and the possibility of prevention. J Intern Med 1990;228:83-90. Gillespie U, Alassaad A, Henrohn D et al. A comprehensive pharmacist intervention to reduce morbidity in patients 80 years or older: A randomized controlled trial. Arch Intern Med 2009;169:894-900. Gallagher P, Ryan C, Byrne S et al. STOPP (Screening Tool of Older Person's Prescriptions) and START (Screening Tool to Alert doctors to Right Treatment). Consensus validation. Int J Clin Pharmacol Ther 2008;46:72-83. Hofer-Dueckelmann C, Prinz E, Beindl W et al. Adverse drug reactions (ADRs) associated with hospital admissions-elderly female patients are at highest risk. Int J Clin Pharmacol Ther 2011;49:577-586. Gallagher P, O'Connor MN, O'Mahony D. Prevention of potentially inappropriate prescribing for elderly patients: A randomized controlled trial using STOPP/START criteria. Clin Pharmacol Ther 2011;89:845-854. Gallagher P, Lang PO, Cherubini A et al. Prevalence of potentially inappropriate prescribing in an acutely ill population of older patients admitted to six European hospitals. Eur J Clin Pharmacol 2011;67:1175-1188. Bierman AS, Pugh MJ, Dhalla I et al. Sex differences in inappropriate prescribing among elderly veterans. Am J Geriatr Pharmacother 2007;5:147-161. O'Mahony D, O'Sullivan D, Byrne S et al. STOPP/START criteria for potentially inappropriate prescribing in older people: Version 2. Age Ageing 2014;44:213-218. Ryan C, O'Mahony D, Kennedy J et al. Potentially inappropriate prescribing in older residents in Irish nursing homes. Age Ageing 2013;42:116-120. Hajjar ER, Hanlon JT, Artz MB et al. Adverse drug reaction risk factors in older outpatients. Am J Geriatr Pharmacother 2003;1:82-89. Ryan C, O'Mahony D, Kennedy J et al. Potentially inappropriate prescribing in an Irish elderly population in primary care. Br J Clin Pharmacol 2009;68:936-947. Lindley CM, Tully MP, Paramsothy V et al. Inappropriate medication is a major cause of adverse drug reactions in elderly patients. Age Ageing 1992;21:294-300. Petrovic M, van der Cammen T, Onder G. Adverse drug reactions in older people: Detection and prevention. Drugs Aging 2012;29:453-462. Kongkaew C, Noyce PR, Ashcroft DM. Hospital admissions associated with adverse drug reactions: A systematic review of prospective observational studies. Ann Pharmacother 2008;42:1017-1025. Sikdar KC, Dowden J, Alaghehbandan R et al. Adverse drug reactions in elderly hospitalized patients: A 12-year population-based retrospective cohort study. Ann Pharmacother 2012;46:960-971. Schmader KE, Hanlon JT, Pieper CF et al. Effects of geriatric evaluation and management on adverse drug reactions and suboptimal prescribing in the frail elderly. Am J Med 2004;116:394-401. Beers MH, Ouslander JG, Rollingher I et al. Explicit criteria for determining inappropriate medication use in nursing home residents. UCLA Division of Geriatric Medicine. Arch Intern Med 1991;151:1825-1832. Buck MD, Atreja A, Brunker CP et al. Potentially inappropriate medication prescribing in outpatient practices: Prevalence and patient characteristics based on electronic health records. Am J Geriatr Pharmacother 2009;7:84-92. Trivalle C, Cartier T, Verny C et al. Identifying and preventing adverse drug events in elderly hospitalised patients: A randomised trial of a program to reduce adverse drug effects. J Nutr Health Aging 2010;14:57-61. Hellström LM, Bondesson A, Höglund P et al. Impact of the Lund Integrated Medicines Management (LIMM) model on medication appropriateness and drug-related hospital revisits. Eur J Clin Pharmacol 2011;67:741-752. Anathhanam S, Powis RA, Cracknell AL et al. Impact of prescribed medications on patient safety in older people. Ther Adv Drug Saf 2012;3:165-174. Leendertse AJ, Egberts AC, Stoker LJ et al. Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands. Arch Intern Med 2008;168:1890-1896. 1990; 228 1991; 151 2009; 68 2010; 14 2006; 61A 2010 2013; 42 1972 2006; 4 2011; 14 2008; 168 2014; 62 2011; 171 2010; 40 2014; 44 2016; 11 2004; 116 2012; 3 2015; 63 2013; 30 2008; 46 2012; 29 2009; 7 2011; 89 2011; 67 2007; 5 2003; 1 2008; 42 1992; 21 2011; 49 2012; 46 2009; 169 2012; 41 2014; 31 e_1_2_6_32_1 e_1_2_6_10_1 e_1_2_6_31_1 e_1_2_6_30_1 e_1_2_6_19_1 e_1_2_6_13_1 e_1_2_6_36_1 e_1_2_6_14_1 e_1_2_6_35_1 e_1_2_6_11_1 e_1_2_6_34_1 e_1_2_6_33_1 e_1_2_6_17_1 e_1_2_6_18_1 e_1_2_6_39_1 e_1_2_6_15_1 e_1_2_6_38_1 e_1_2_6_16_1 e_1_2_6_37_1 e_1_2_6_21_1 e_1_2_6_20_1 e_1_2_6_9_1 e_1_2_6_8_1 e_1_2_6_5_1 e_1_2_6_4_1 e_1_2_6_7_1 e_1_2_6_6_1 e_1_2_6_25_1 e_1_2_6_24_1 e_1_2_6_3_1 e_1_2_6_23_1 e_1_2_6_2_1 e_1_2_6_22_1 Leendertse AJ (e_1_2_6_12_1) 2008; 168 e_1_2_6_29_1 e_1_2_6_28_1 e_1_2_6_27_1 e_1_2_6_26_1 |
| References_xml | – reference: Gallagher P, O'Connor MN, O'Mahony D. Prevention of potentially inappropriate prescribing for elderly patients: A randomized controlled trial using STOPP/START criteria. Clin Pharmacol Ther 2011;89:845-854. – reference: Hamilton H, Gallagher P, Ryan C et al. Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients. Arch Intern Med 2011;171:1013-1019. – reference: O'Mahony D, O'Sullivan D, Byrne S et al. STOPP/START criteria for potentially inappropriate prescribing in older people: Version 2. Age Ageing 2014;44:213-218. – reference: Hajjar ER, Hanlon JT, Artz MB et al. Adverse drug reaction risk factors in older outpatients. Am J Geriatr Pharmacother 2003;1:82-89. – reference: O'Sullivan DP, O'Mahony D, Parsons C et al. A prevalence study of potentially inappropriate prescribing in Irish long-term care residents. Drugs Aging 2013;30:39-49. – reference: Nguyen JK, Fouts MM, Kotabe SE et al. Polypharmacy as a risk factor for adverse drug reactions in geriatric nursing home residents. Am J Geriatr Pharmacother 2006;4:36-41. – reference: Kongkaew C, Noyce PR, Ashcroft DM. Hospital admissions associated with adverse drug reactions: A systematic review of prospective observational studies. Ann Pharmacother 2008;42:1017-1025. – reference: Hellström LM, Bondesson A, Höglund P et al. Impact of the Lund Integrated Medicines Management (LIMM) model on medication appropriateness and drug-related hospital revisits. Eur J Clin Pharmacol 2011;67:741-752. – reference: Hallas J, Harvald B, Gram LF et al. Drug related hospital admissions: The role of definitions and intensity of data collection, and the possibility of prevention. J Intern Med 1990;228:83-90. – reference: Ryan C, O'Mahony D, Kennedy J et al. Potentially inappropriate prescribing in an Irish elderly population in primary care. Br J Clin Pharmacol 2009;68:936-947. – reference: Leendertse AJ, Egberts AC, Stoker LJ et al. Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands. Arch Intern Med 2008;168:1890-1896. – reference: Bierman AS, Pugh MJ, Dhalla I et al. Sex differences in inappropriate prescribing among elderly veterans. Am J Geriatr Pharmacother 2007;5:147-161. – reference: Gillespie U, Alassaad A, Henrohn D et al. A comprehensive pharmacist intervention to reduce morbidity in patients 80 years or older: A randomized controlled trial. Arch Intern Med 2009;169:894-900. – reference: Trivalle C, Cartier T, Verny C et al. Identifying and preventing adverse drug events in elderly hospitalised patients: A randomised trial of a program to reduce adverse drug effects. J Nutr Health Aging 2010;14:57-61. – reference: Hanlon JT, Pieper CF, Hajjar ER et al. Incidence and predictors of all and preventable adverse drug reactions in frail elderly persons after hospital stay. J Gerontol A Biol Sci Med Sci 2006;61A:511-555. – reference: Schmader KE, Hanlon JT, Pieper CF et al. Effects of geriatric evaluation and management on adverse drug reactions and suboptimal prescribing in the frail elderly. Am J Med 2004;116:394-401. – reference: Sikdar KC, Dowden J, Alaghehbandan R et al. Adverse drug reactions in elderly hospitalized patients: A 12-year population-based retrospective cohort study. Ann Pharmacother 2012;46:960-971. – reference: Gallagher P, Ryan C, Byrne S et al. STOPP (Screening Tool of Older Person's Prescriptions) and START (Screening Tool to Alert doctors to Right Treatment). Consensus validation. Int J Clin Pharmacol Ther 2008;46:72-83. – reference: O'Connor MN, Gallagher P, Byrne S et al. Adverse drug reactions in older patients during hospitalisation: Are they predictable? Age Ageing 2012;41:771-776. – reference: By the American Geriatrics Society 2015 Beers Criteria Update Expert Panel. American Geriatrics Society 2015 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. J Am Geriatr Soc 2015;63:2227-2246. – reference: Onder G, van der Cammen TJ, Petrovic M et al. Strategies to reduce the risk of iatrogenic illness in complex older adults. Age Ageing 2013;42:284-291. – reference: Patel TK, Patel PB. Incidence of adverse drug reactions in Indian hospitals: A systematic review of prospective studies. Curr Drug Saf 2016;11:128-136. – reference: Leendertse AJ, Van Den Bemt PM, Poolman JB et al. Preventable hospital admissions related to medication (HARM): Cost analysis of the HARM study. Value Health 2011;14:34-40. – reference: Lindley CM, Tully MP, Paramsothy V et al. Inappropriate medication is a major cause of adverse drug reactions in elderly patients. Age Ageing 1992;21:294-300. – reference: Petrovic M, van der Cammen T, Onder G. Adverse drug reactions in older people: Detection and prevention. Drugs Aging 2012;29:453-462. – reference: Dalleur O, Boland B, Losseau C et al. Reduction of potentially inappropriate medications using the STOPP criteria in frail older inpatients: A randomised controlled study. Drugs Aging 2014;31:291-298. – reference: Frankenthal D, Lerman Y, Kalendaryev E et al. Intervention with the Screening Tool of Older Persons Potentially Inappropriate Prescriptions/Screening Tool to Alert Doctors to Right Treatment criteria in elderly residents of a chronic geriatric facility: A randomized clinical trial. J Am Geriatr Soc 2014;62:1658-1665. – reference: Hofer-Dueckelmann C, Prinz E, Beindl W et al. Adverse drug reactions (ADRs) associated with hospital admissions-elderly female patients are at highest risk. Int J Clin Pharmacol Ther 2011;49:577-586. – reference: Anathhanam S, Powis RA, Cracknell AL et al. Impact of prescribed medications on patient safety in older people. Ther Adv Drug Saf 2012;3:165-174. – reference: Ryan C, O'Mahony D, Kennedy J et al. Potentially inappropriate prescribing in older residents in Irish nursing homes. Age Ageing 2013;42:116-120. – reference: Gallagher P, Lang PO, Cherubini A et al. Prevalence of potentially inappropriate prescribing in an acutely ill population of older patients admitted to six European hospitals. Eur J Clin Pharmacol 2011;67:1175-1188. – reference: Buck MD, Atreja A, Brunker CP et al. Potentially inappropriate medication prescribing in outpatient practices: Prevalence and patient characteristics based on electronic health records. Am J Geriatr Pharmacother 2009;7:84-92. – reference: Beers MH, Ouslander JG, Rollingher I et al. Explicit criteria for determining inappropriate medication use in nursing home residents. UCLA Division of Geriatric Medicine. Arch Intern Med 1991;151:1825-1832. – reference: Scott I, Jayathissa S. Quality of drug prescribing in older patients: Is there a problem and can we improve it? Intern Med J 2010;40:7-18. – volume: 62 start-page: 1658 year: 2014 end-page: 1665 article-title: Intervention with the Screening Tool of Older Persons Potentially Inappropriate Prescriptions/Screening Tool to Alert Doctors to Right Treatment criteria in elderly residents of a chronic geriatric facility: A randomized clinical trial publication-title: J Am Geriatr Soc – volume: 168 start-page: 1890 year: 2008 end-page: 1896 article-title: Frequency of and risk factors for preventable medication‐related hospital admissions in the Netherlands publication-title: Arch Intern Med – volume: 4 start-page: 36 year: 2006 end-page: 41 article-title: Polypharmacy as a risk factor for adverse drug reactions in geriatric nursing home residents publication-title: Am J Geriatr Pharmacother – volume: 14 start-page: 57 year: 2010 end-page: 61 article-title: Identifying and preventing adverse drug events in elderly hospitalised patients: A randomised trial of a program to reduce adverse drug effects publication-title: J Nutr Health Aging – volume: 11 start-page: 128 year: 2016 end-page: 136 article-title: Incidence of adverse drug reactions in Indian hospitals: A systematic review of prospective studies publication-title: Curr Drug Saf – volume: 67 start-page: 1175 year: 2011 end-page: 1188 article-title: Prevalence of potentially inappropriate prescribing in an acutely ill population of older patients admitted to six European hospitals publication-title: Eur J Clin Pharmacol – volume: 171 start-page: 1013 year: 2011 end-page: 1019 article-title: Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients publication-title: Arch Intern Med – volume: 116 start-page: 394 year: 2004 end-page: 401 article-title: Effects of geriatric evaluation and management on adverse drug reactions and suboptimal prescribing in the frail elderly publication-title: Am J Med – volume: 89 start-page: 845 year: 2011 end-page: 854 article-title: Prevention of potentially inappropriate prescribing for elderly patients: A randomized controlled trial using STOPP/START criteria publication-title: Clin Pharmacol Ther – volume: 7 start-page: 84 year: 2009 end-page: 92 article-title: Potentially inappropriate medication prescribing in outpatient practices: Prevalence and patient characteristics based on electronic health records publication-title: Am J Geriatr Pharmacother – volume: 41 start-page: 771 year: 2012 end-page: 776 article-title: Adverse drug reactions in older patients during hospitalisation: Are they predictable? publication-title: Age Ageing – volume: 68 start-page: 936 year: 2009 end-page: 947 article-title: Potentially inappropriate prescribing in an Irish elderly population in primary care publication-title: Br J Clin Pharmacol – volume: 44 start-page: 213 year: 2014 end-page: 218 article-title: STOPP/START criteria for potentially inappropriate prescribing in older people: Version 2 publication-title: Age Ageing – volume: 1 start-page: 82 year: 2003 end-page: 89 article-title: Adverse drug reaction risk factors in older outpatients publication-title: Am J Geriatr Pharmacother – volume: 5 start-page: 147 year: 2007 end-page: 161 article-title: Sex differences in inappropriate prescribing among elderly veterans publication-title: Am J Geriatr Pharmacother – volume: 21 start-page: 294 year: 1992 end-page: 300 article-title: Inappropriate medication is a major cause of adverse drug reactions in elderly patients publication-title: Age Ageing – volume: 46 start-page: 72 year: 2008 end-page: 83 article-title: STOPP (Screening Tool of Older Person's Prescriptions) and START (Screening Tool to Alert doctors to Right Treatment). Consensus validation publication-title: Int J Clin Pharmacol Ther – volume: 49 start-page: 577 year: 2011 end-page: 586 article-title: Adverse drug reactions (ADRs) associated with hospital admissions—elderly female patients are at highest risk publication-title: Int J Clin Pharmacol Ther – volume: 42 start-page: 1017 year: 2008 end-page: 1025 article-title: Hospital admissions associated with adverse drug reactions: A systematic review of prospective observational studies publication-title: Ann Pharmacother – year: 2010 – volume: 67 start-page: 741 year: 2011 end-page: 752 article-title: Impact of the Lund Integrated Medicines Management (LIMM) model on medication appropriateness and drug‐related hospital revisits publication-title: Eur J Clin Pharmacol – volume: 3 start-page: 165 year: 2012 end-page: 174 article-title: Impact of prescribed medications on patient safety in older people publication-title: Ther Adv Drug Saf – volume: 40 start-page: 7 year: 2010 end-page: 18 article-title: Quality of drug prescribing in older patients: Is there a problem and can we improve it? publication-title: Intern Med J – volume: 42 start-page: 116 year: 2013 end-page: 120 article-title: Potentially inappropriate prescribing in older residents in Irish nursing homes publication-title: Age Ageing – volume: 31 start-page: 291 year: 2014 end-page: 298 article-title: Reduction of potentially inappropriate medications using the STOPP criteria in frail older inpatients: A randomised controlled study publication-title: Drugs Aging – volume: 61A start-page: 511 year: 2006 end-page: 555 article-title: Incidence and predictors of all and preventable adverse drug reactions in frail elderly persons after hospital stay publication-title: J Gerontol A Biol Sci Med Sci – volume: 228 start-page: 83 year: 1990 end-page: 90 article-title: Drug related hospital admissions: The role of definitions and intensity of data collection, and the possibility of prevention publication-title: J Intern Med – volume: 29 start-page: 453 year: 2012 end-page: 462 article-title: Adverse drug reactions in older people: Detection and prevention publication-title: Drugs Aging – year: 1972 – volume: 151 start-page: 1825 year: 1991 end-page: 1832 article-title: Explicit criteria for determining inappropriate medication use in nursing home residents. UCLA Division of Geriatric Medicine publication-title: Arch Intern Med – volume: 63 start-page: 2227 year: 2015 end-page: 2246 article-title: American Geriatrics Society 2015 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults publication-title: J Am Geriatr Soc – volume: 30 start-page: 39 year: 2013 end-page: 49 article-title: A prevalence study of potentially inappropriate prescribing in Irish long‐term care residents publication-title: Drugs Aging – volume: 42 start-page: 284 year: 2013 end-page: 291 article-title: Strategies to reduce the risk of iatrogenic illness in complex older adults publication-title: Age Ageing – volume: 46 start-page: 960 year: 2012 end-page: 971 article-title: Adverse drug reactions in elderly hospitalized patients: A 12‐year population‐based retrospective cohort study publication-title: Ann Pharmacother – volume: 14 start-page: 34 year: 2011 end-page: 40 article-title: Preventable hospital admissions related to medication (HARM): Cost analysis of the HARM study publication-title: Value Health – volume: 169 start-page: 894 year: 2009 end-page: 900 article-title: A comprehensive pharmacist intervention to reduce morbidity in patients 80 years or older: A randomized controlled trial publication-title: Arch Intern Med – ident: e_1_2_6_23_1 – ident: e_1_2_6_6_1 doi: 10.5414/CPP46072 – ident: e_1_2_6_10_1 doi: 10.1016/j.jval.2010.10.024 – ident: e_1_2_6_31_1 doi: 10.1093/ageing/afs068 – ident: e_1_2_6_29_1 doi: 10.1111/j.1365-2125.2009.03531.x – ident: e_1_2_6_35_1 doi: 10.5414/CP201514 – ident: e_1_2_6_34_1 doi: 10.1016/j.amjopharm.2007.06.005 – ident: e_1_2_6_11_1 doi: 10.2165/11631760-000000000-00000 – ident: e_1_2_6_28_1 doi: 10.1111/jgs.13702 – ident: e_1_2_6_33_1 doi: 10.1016/j.amjopharm.2009.03.001 – ident: e_1_2_6_8_1 doi: 10.1345/aph.1L037 – ident: e_1_2_6_16_1 doi: 10.1007/s00228-010-0982-3 – ident: e_1_2_6_22_1 – volume: 168 start-page: 1890 year: 2008 ident: e_1_2_6_12_1 article-title: Frequency of and risk factors for preventable medication‐related hospital admissions in the Netherlands publication-title: Arch Intern Med – ident: e_1_2_6_30_1 doi: 10.1007/s00228-011-1061-0 – ident: e_1_2_6_38_1 doi: 10.1093/ageing/afu145 – ident: e_1_2_6_39_1 – ident: e_1_2_6_9_1 doi: 10.1111/j.1445-5994.2009.02040.x – ident: e_1_2_6_37_1 doi: 10.1345/aph.1Q529 – ident: e_1_2_6_18_1 doi: 10.1001/archinternmed.2011.215 – ident: e_1_2_6_26_1 doi: 10.1007/s40266-014-0157-5 – ident: e_1_2_6_15_1 doi: 10.1007/s12603-010-0010-4 – ident: e_1_2_6_14_1 doi: 10.1001/archinternmed.2009.71 – ident: e_1_2_6_32_1 doi: 10.1007/s40266-012-0039-7 – ident: e_1_2_6_25_1 doi: 10.1111/jgs.12993 – ident: e_1_2_6_24_1 doi: 10.1111/j.1365-2796.1990.tb00199.x – ident: e_1_2_6_7_1 doi: 10.1038/clpt.2011.44 – ident: e_1_2_6_21_1 – ident: e_1_2_6_4_1 doi: 10.1016/S1543-5946(03)90004-3 – ident: e_1_2_6_13_1 doi: 10.1016/j.amjmed.2003.10.031 – ident: e_1_2_6_19_1 doi: 10.1177/2042098612443848 – ident: e_1_2_6_27_1 doi: 10.1001/archinte.1991.00400090107019 – ident: e_1_2_6_20_1 doi: 10.1093/ageing/afs046 – ident: e_1_2_6_5_1 doi: 10.1016/j.amjopharm.2006.03.002 – ident: e_1_2_6_36_1 doi: 10.2174/1574886310666150921104523 – ident: e_1_2_6_3_1 doi: 10.1093/gerona/61.5.511 – ident: e_1_2_6_17_1 doi: 10.1093/ageing/aft038 – ident: e_1_2_6_2_1 doi: 10.1093/ageing/21.4.294 |
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To determine whether use of the Screening Tool of Older Persons' Prescriptions (STOPP) and Screening Tool to Alert to Right Treatment (START)... To determine whether use of the Screening Tool of Older Persons' Prescriptions (STOPP) and Screening Tool to Alert to Right Treatment (START) criteria reduces... Objectives To determine whether use of the Screening Tool of Older Persons' Prescriptions (STOPP) and Screening Tool to Alert to Right Treatment (START)... OBJECTIVESTo determine whether use of the Screening Tool of Older Persons' Prescriptions (STOPP) and Screening Tool to Alert to Right Treatment (START)... |
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| Title | Prevention of Hospital-Acquired Adverse Drug Reactions in Older People Using Screening Tool of Older Persons' Prescriptions and Screening Tool to Alert to Right Treatment Criteria: A Cluster Randomized Controlled Trial |
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