Health outcomes associated with potentially inappropriate medication use in older adults

Donna M. Fick, Lorraine C. Mion, Mark H. Beers, Jennifer L. Waller

Research output: Contribution to journalArticlepeer-review

150 Scopus citations

Abstract

The purpose of this study was to examine the prevalence of potentially inappropriate medication use (PIMs) among community-dwelling older adults and the association between PIMs and health care outcomes. Participants were 17,971 individuals age 65 years and older. PIM use was defined by the Beers criteria. Drug-related problems (DRPs) were defined using ICD-9 codes. Forty percent of the 17,971 individuals filled at least 1 PIM prescription, and 13% filled 2 or more PIM prescriptions. Overall DRP prevalence among those with at least 1 PIM prescription was 14.3% compared to 4.7% in the non-PIM group (p< .001). In conclusion, preventing PIM use may be important for decreasing medication-related problems, which are increasingly being recognized as requiring an integrated interdisciplinary approach.

Original languageEnglish (US)
Pages (from-to)42-51
Number of pages10
JournalResearch in Nursing and Health
Volume31
Issue number1
DOIs
StatePublished - Feb 2008

Keywords

  • Adverse drug events
  • Geriatrics
  • Healthcare costs
  • Medications

ASJC Scopus subject areas

  • Nursing(all)

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