Potentially Inappropriate Prescribing in Older Adults with Hypertension or Diabetes Mellitus and Hypertension in a Primary Care Setting in Bahrain

Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre
Khalid A J Al KhajaReginald P Sequeira

Abstract

The aims of this study were to evaluate: (1) the prevalence and types of potentially inappropriate prescribing in older adults with hypertension or diabetes mellitus and hypertension, and (2) whether or not differences in the training of primary care physicians were associated with potentially inappropriate prescribing. Primary care prescriptions issued by family physicians and general practitioners were audited using Screening Tool of Older Persons' Prescriptions criteria (version 1), with 18 out of 65 applicable criteria. Descriptive statistics were used to test the difference between proportions, and two-tailed t test was used for continuous variables. A total of 2,090 outpatient prescriptions were written during the study period; of these, 712 (34.1%) were potentially inappropriate. The mean number of drugs per patient was 6.03 (±2.5). Of the 712 prescriptions, 543 (76.3%) were used for the treatment of acute medical illnesses. The most common examples of potentially inappropriate prescribing were: orphenadrine (n = 174; 8.33%), long-term nonsteroidal anti-inflammatory drugs for > 3 months (n = 150; 7.18%), proton pump inhibitors for > 8 weeks (n = 135; 6.46%), antihypertensive therapy duplication (n = 59; 2.82%), long-acti...Continue Reading

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Citations

Apr 26, 2019·Expert Review of Pharmacoeconomics & Outcomes Research·Rasha M ArabyatKarem H Alzoubi
Aug 20, 2020·The International Journal of Pharmacy Practice·Thananan Rattanachotphanit, Onanong Waleekhachonloet
May 22, 2020·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Muhammad SaqlainFaizan Mazhar
Dec 4, 2020·British Journal of Clinical Pharmacology·Monika Pury OktoraPetra Denig

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